Brent Cole Sugg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35238 Issued in TX

Practice address

4812 West Ave
San Antonio, TX 78213-2737

Phone

(210) 977-0321

NPI assigned

Jun 23, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1104487008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 ESTONIAN TRCE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512157",
            "telephone_number": "806-544-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132737",
            "telephone_number": "210-977-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGG",
        "first_name": "BRENT",
        "middle_name": "COLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Mariko Suey, O.D.
• Mylynn Dionaldo Suficiencia, NP
• Varvara Sufueva
• Aaron J Sugalski, DO
• Nancy Sugarek, NP
• Brian Clay Suggs, D.C.
• Sheldon Sugioka
• Ryushiro Sugita
• Tad Kiyoshi Sugiyama, DO
• Eunice Haesoo Suhr, M.D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.