Active NPI
5 Star Dental
- General Practice Dentistry
- The Colony, TX
National Provider Identifier
1194236646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29398
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soo Yun Lee, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Addison, TX
- NPI 1154763498
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.