WSJ Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29318 Issued in TX

Legal business name

WSJ DENTAL PLLC

Doing business as

Garland Grove Dentistry

Practice address

1213 W State St Ste a
Garland, TX 75040-6153

Phone

(972) 272-3585

NPI assigned

Jul 24, 2017

Last updated

Jul 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Woo Sung Jung, DDS

Title

Dentist

Phone

(949) 689-0898

Specialties & licenses 1

Addresses

Other names 1

• Garland Grove Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Alan Brawley, D.D.S.

  • General Practice Dentistry
  • Garland, TX
  • NPI 1306991039
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1649793316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 TWIST TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938431",
            "telephone_number": "949-680-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W STATE ST STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406153",
            "telephone_number": "972-272-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSJ DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "WOO SUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-689-0898",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garland Grove Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Woodward
• Kandra Wooten, LPC
• Anthony Wright, PT
• Cassandra J Wright, CPNP
• Kaylei Ann Wright, CPNP
• Shelby A Wyll, MD
• Jameel Tamica Wynter
• Hong Xiang, NP
• Holly Kyoko Yamauchi Barbero, NP
• Kai-Soon Yang, MD

• General Practice Dentistry in Garland, TX
• Providers in Garland, 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 Jul 24, 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.