Stone Canyon Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STONE CANYON DENTAL PLLC

Practice address

480 E US 80 Frontage Rd
Ste 100
Sunnyvale, TX 75182

Phone

(972) 996-3191

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Cecile Nguyen

Title

Ceo

Phone

(972) 896-9386

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sufian Ahmeed Yassin, BDS

  • Dentist
  • Sunnyvale, TX
  • NPI 1477225381
  NPD

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1194426999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 144268",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E US 80 FRONTAGE RD",
            "address_2": "STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "75182",
            "telephone_number": "972-996-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CANYON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-896-9386"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josalyn Nicole Spear
• Herman Jorge Splatt Jr., PAC
• Jeanne Stasny
• Chasidy R Steward
• Stone Canyon Dental
• Lisa L Streat
• Edward M Sullivan, PA
• Sunnyvale Dental Group PLLC (Vox Dental Specialists)
• Sunnyvale Isd
• Sunnyvale Kids DDS PLLC

• General Practice Dentistry in Sunnyvale, TX
• Providers in Sunnyvale, 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 Mar 17, 2023; 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.