Organization Active NPI

5 Star Dental

  • General Practice Dentistry
  • The Colony, TX
National Provider Identifier
1194236646
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29398 Issued in TX
Legal business name
5 STAR DENTAL
Practice address
3751 Main Street
Suite 1000
The Colony, TX 75056
Phone
(972) 636-4010
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Soo Yun Lee, DDSNPI 1154763498
Title
Dentist
Phone
(972) 636-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29398 TX Primary

Addresses

Primary practice location

3751 Main Street
Suite 1000
The Colony, TX 75056

Mailing address

3751 Main St Ste 1000
The Colony, TX 75056-4142
Phone (972) 636-4010

National Provider Directory

National Provider Directory

Locations

3751 Main St
Ste 1000
The Colony, TX 75056
Phone (972) 636-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1194236646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 MAIN ST STE 1000",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564142",
            "telephone_number": "972-636-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 MAIN STREET",
            "address_2": "SUITE 1000",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "972-636-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO YUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-636-4010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.