Serenity Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29084 Issued in TX

Legal business name

SERENITY DENTISTRY PLLC

Doing business as

Brush Boutique

Practice address

3535 Rayford Rd
Spring, TX 77386

Phone

(713) 459-0834

NPI assigned

May 13, 2016

Last updated

Jun 7, 2019By 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

Dr. Phuong Quoc Pham, DDS

Title

Owner

Phone

(713) 459-0834

Specialties & licenses 1

Addresses

Other names 1

• Brush Boutique Doing business as

Locations

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1720434202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 RAYFORD RD STE 300",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864491",
            "telephone_number": "713-459-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RAYFORD RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "713-459-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-459-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Spring, TX
• Providers in Spring, 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 Jun 7, 2019; 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.