Active NPI
Sugarland Mint Dentistry PLLC
- Dental Clinic/Center
- Sugar Land, TX
National Provider Identifier
1215483771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SUGARLAND MINT DENTISTRY PLLC
- Practice address
- 13134 Dairy Ashford Rd
#200
Sugar Land, TX 77478-3756 - Phone
- (713) 692-6468
- NPI assigned
- Aug 25, 2016
- 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
- Jennifer Sgrillo
- Title
- Coo
- Phone
- (817) 939-0853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
13134 Dairy Ashford Rd
#200
Sugar Land, TX 77478-3756
Mailing address
13134 Dairy Ashford Rd
#200
Sugar Land, TX 77478-3756
Phone (713) 692-6468
National Provider Directory
National Provider DirectoryLocations
13134 Dairy Ashford Rd
Ste 200
Sugar Land, TX 77478
Phone (281) 607-0955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1215483771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13134 DAIRY ASHFORD RD",
"address_2": "#200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783756",
"telephone_number": "713-692-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13134 DAIRY ASHFORD RD",
"address_2": "#200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783756",
"telephone_number": "713-692-6468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGARLAND MINT DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "SGRILLO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "817-939-0853"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.