Auburn Lakes Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

25863 Issued in TX

Legal business name

AUBURN LAKES PERIODONTICS

Practice address

6922 W Rayford Rd
Spring, TX 77389-3003

Phone

(832) 953-3100

Fax

(832) 953-3101

NPI assigned

Dec 18, 2016

Organization subpart

No

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

Authorized official

Name

Thalida Thuy Dong, DMD, MS

Title

President

Phone

(832) 953-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1417491994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 W RAYFORD RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773893003",
            "telephone_number": "832-953-3100",
            "fax_number": "832-953-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 W RAYFORD RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773893003",
            "telephone_number": "832-953-3100",
            "fax_number": "832-953-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN LAKES PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "THALIDA",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-953-3100",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "25863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Spring, TX
• Providers in Spring, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.