Sprout Dentistry for Kids Frisco, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SPROUT DENTISTRY FOR KIDS FRISCO, PLLC

Practice address

2626 Stonebrook Pkwy Ste 200
Frisco, TX 75034-1393

Phone

(972) 987-0787

NPI assigned

Jul 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Justin Chan, DDS

Title

Co-Owner

Phone

(972) 987-0787

Specialties & licenses 3

Addresses

Other names 1

• Sheer Smiles Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1730925157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 STONEBROOK PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341393",
            "telephone_number": "972-987-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 STONEBROOK PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341393",
            "telephone_number": "972-987-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT DENTISTRY FOR KIDS FRISCO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "972-987-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheer Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Austin Spencer, M.D.
• Elyse A. Spencer, PA-C
• Patrick Paul Spicer, MD
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• Sarah Lee Spreda, PHD
• Makayla Blake Spurgin
• Seon Elizabeth Spurlock, LMFT
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• Pediatric Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.