Organization Active NPI

Southern Dental at Sugarland PLLC

  • Dentist
  • Stafford, TX
National Provider Identifier
1497128458
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUTHERN DENTAL AT SUGARLAND PLLC
Practice address
12800 Fountain Lake Cir
Stafford, TX 77477-3756
Phone
(678) 756-5921
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Steve Wingfield, DDS
Title
Coo
Phone
(678) 756-5921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX Primary

Addresses

Primary practice location

12800 Fountain Lake Cir
Stafford, TX 77477-3756

Mailing address

12800 Fountain Lake Cir
Stafford, TX 77477-3756
Phone (678) 756-5921

National Provider Directory

National Provider Directory

Locations

12800 Fountain Lake Cir
Stafford, TX 77477
Phone (281) 277-1609

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1497128458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 FOUNTAIN LAKE CIR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773756",
            "telephone_number": "678-756-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 FOUNTAIN LAKE CIR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773756",
            "telephone_number": "678-756-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTAL AT SUGARLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-756-5921",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.