Society Dental Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOCIETY DENTAL PROFESSIONAL CORPORATION

Practice address

6430 Richmond Ave Ste 110
Houston, TX 77057-5908

Phone

(832) 930-4075

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lindsey R Gardner, D.M.D.

Title

President

Phone

(281) 802-3426

Specialties & licenses 1

Addresses

Other names 1

• Richmond Avenue Family Dental Doing business as

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1417325341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575908",
            "telephone_number": "832-930-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575908",
            "telephone_number": "832-930-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-802-3426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Avenue Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marites Rosal Socco, R.D.
• Soch Pharmacy LLC
• Diandra Socha, MD
• Social Worker Services Inc
• Society Care EMS Inc
• Society Healthcare Services, LLC
• Society Team EMS Inc
• Marianna Martin Sockrider, MD, DRPH
• Francesca Soda
• Adrienne Sodemann

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Sep 9, 2015; 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.