Advanced Dental

Primary specialty

DentistTaxonomy code 122300000X

License

10890 Issued in TX

Legal business name

ADVANCED DENTAL

Practice address

1860 Texas Ave
Bridge City, TX 77611-2808

Phone

(409) 735-8146

Fax

(409) 735-2167

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Mark Messer, D.D.S.

Title

Dentist

Phone

(409) 735-8146

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Yooshun Chung, DMD

  • Student in an Organized Health Care Education/Training Program
  • Bridge City, TX
  • NPI 1407144363
  NPD (past)
• Duyen Ho, DDS

  • General Practice Dentistry
  • Bridge City, TX
  • NPI 1427463751
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1306134101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112808",
            "telephone_number": "409-735-8146",
            "fax_number": "409-735-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112808",
            "telephone_number": "409-735-8146",
            "fax_number": "409-735-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "MESSER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "409-735-8146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acorn Medical Home
• Alex Edgerly, DDS, PLLC
• Emily Allen, FNP-C
• Kimberly Ann Allen, APRN, FNP-C, RN
• Anand B. Movva, MD.,PA
• Evie Arceneaux Arceneaux, M.S. CCC-SLP

• Dentist in Bridge City, TX
• Providers in Bridge City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.