Woodbridge Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21837 Issued in TX

Legal business name

WOODBRIDGE DENTAL, P.A.

Practice address

418 Olmstead Park Dr
Sugar Land, TX 77479-4440

Phone

(832) 643-2048

NPI assigned

Jun 7, 2016

Organization subpart

No

Name

Andrew P Tran, D.D.S.

Title

Owner

Phone

(832) 643-2048

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2016.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1720437171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11627 S HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77498",
            "telephone_number": "832-643-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 OLMSTEAD PARK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794440",
            "telephone_number": "832-643-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-643-2048",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168315302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lee Wood
• Jeffrey Ben Wood, MD
• Lisa Wood
• Oscar F. Wood
• Amy Jean Woodall, M.A.,CCC-A
• Laura Cathryn Woodcox-Martin, D.P.M.
• Johrelle Woods
• Justin Michael Woods, FNP
• Christy Lynn Woodworth, LPC
• Allison Clare Wooten, MSN, RN, ACNP-BC

• All providers in Sugar Land, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.