Vita Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VITA DENTAL PLLC

Practice address

1799 N Fry Rd
Katy, TX 77449-3347

Phone

(609) 271-0278

NPI assigned

Dec 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sang Pil Yu

Title

Co-Owner/Dentist

Phone

(609) 271-0278

Specialties & licenses 1

Addresses

Other names 1

• Vita Dental Doing business as

Locations

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1316335441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 N FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493347",
            "telephone_number": "609-271-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493347",
            "telephone_number": "609-271-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SANG PIL",
        "authorized_official_title_or_position": "CO-OWNER/DENTIST",
        "authorized_official_telephone_number": "609-271-0278",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vita Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vision Republic, PLLC
• Visionworks Inc
• Visionworks, Inc
• Visionworks, Inc.
• Vista Adult Daycare Center Inc
• Vital Care LLC
• Vital Caregivers LLC
• Vitalcore Health Care LLC
• Vitality Home Health LLC
• Vitalsource Healthcare

• General Practice Dentistry in Katy, TX
• Providers in Katy, 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 Dec 23, 2014; 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.