Mary Ann Grace Sagullo DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

20093 Issued in TX

Legal business name

MARY ANN GRACE SAGULLO DDS PC

Practice address

304 E Tidwell Rd
Houston, TX 77022-1624

Phone

(713) 367-0290

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann Grace Sagullo, DDS

Title

President

Phone

(713) 367-0290

Specialties & licenses 1

Addresses

Other names 1

• Excell Dental Care PC Doing business as

Locations

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1427368455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221624",
            "telephone_number": "713-367-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221624",
            "telephone_number": "713-367-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN GRACE SAGULLO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SAGULLO",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-367-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excell Dental Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celine Marx
• Kristi I Marx, MSW, LCSW
• Linda L Marx, LMFT, LCDC, NCACII
• Virginia Marx, NP-C
• Mary Alice Cowan, MD, PLLC
• Mary Ann Washington M.D.,P.a
• Mary Beth Pace
• Mary C Valentine Lsa
• Mary Duran LCSW PLLC Dba Healing Lane Therapy
• Mary F. Riley, D.D.S., P.C.

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.