Penn Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENN DENTAL GROUP PLLC

Practice address

4920 Teasley LN
Denton, TX 76210-3901

Phone

(940) 566-1066

Fax

(940) 566-1067

NPI assigned

Jun 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sanghun S Lee, DMD

Title

President

Phone

(215) 796-2967

Specialties & licenses 1

Addresses

Other names 1

• Denton Oak Dentsitry Doing business as

Locations

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1326618968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OSPREY CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925851",
            "telephone_number": "215-796-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103901",
            "telephone_number": "940-566-1066",
            "fax_number": "940-566-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGHUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-796-2967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denton Oak Dentsitry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Pellar, DPT
• Cynthia Pelzel, R.N.
• Ashley Pena, RD, LD, CNSC
• Danielle Lee Pena
• Nicole Pendolino
• People'S Clinic of Denton County, Inc.
• Tiffany Peoples
• Roger Perales, APRN
• Peridot Ventures LLC
• Toni Perkins, APRN, FNP-C

• General Practice Dentistry in Denton, TX
• Providers in Denton, 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 Jun 27, 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.