Fresh 24 Dental

Primary specialty

DentistTaxonomy code 122300000X

License

27247 Issued in TX

Legal business name

FRESH 24 DENTAL

Practice address

16503 Timberidge CT
Cypress, TX 77429-4953

Phone

(732) 593-9155

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Z Varga, DDS

Title

President

Phone

(732) 593-9155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1437690534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST STE B1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367835",
            "telephone_number": "732-593-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16503 TIMBERIDGE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294953",
            "telephone_number": "732-593-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH 24 DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-593-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.