NPIMap

Organization Active NPI

Start My Dental PLLC

  • Dental Clinic/Center
  • Watauga, TX
National Provider Identifier
1689248494
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
START MY DENTAL PLLC
Practice address
8247 Rufe Snow Dr Ste 100
Watauga, TX 76148-1128
Phone
(817) 203-0085
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Soo Yun Lee, DDSNPI 1154763498
Title
Owner/Doctor
Phone
(917) 363-8223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8247 Rufe Snow Dr Ste 100
Watauga, TX 76148-1128

Mailing address

8247 Rufe Snow Dr Ste 100
Watauga, TX 76148-1128
Phone (817) 203-0085

Other names 1

  • 5 Star Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8247 Rufe Snow Dr
Ste 100
Watauga, TX 76148
Phone (817) 203-0085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1689248494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8247 RUFE SNOW DR STE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481128",
            "telephone_number": "817-203-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8247 RUFE SNOW DR STE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481128",
            "telephone_number": "817-203-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START MY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO YUN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "917-363-8223",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 Star Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.