Katy Ultra White Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KATY ULTRA WHITE DENTAL PC

Practice address

9727 Spring Green Blvd Ste 200
Katy, TX 77494-4141

Phone

(281) 697-5200

Fax

(281) 697-5201

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne M George, DMDNPI 1023402922

Title

Dr.

Phone

(281) 697-5200

Specialties & licenses 1

Addresses

Tax ID family

Katy Ultra White Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Katy Ultra White Dental PC

  • General Practice Dentistry
  • Katy, TX
  • NPI 1770298614
  NPD tax ID

Practitioners 1

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

• Suzanne George

  • General Practice Dentistry
  • Houston, TX
  • NPI 1023402922
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1295495349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944141",
            "telephone_number": "281-697-5200",
            "fax_number": "281-697-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944141",
            "telephone_number": "281-697-5200",
            "fax_number": "281-697-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY ULTRA WHITE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "281-697-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Supportive Medicine, P.a.
• Katy Surgical Assist Services, LLC
• Katy Surgical Assistants Inc
• Katy Surgical Assistants, Inc
• Katy TX Caregiving LLC
• Katy Ultra White Dental PC
• Katy Universal Medical Supply, LLC
• Katy Urgent Care Partners, LP
• Katy Vision Associates, PA
• Katy Wellness Center LLC

• Dental Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.