NPIMap

Organization Active NPI

Sugar Land Dental Group, PC

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1750667176
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUGAR LAND DENTAL GROUP, PC
Practice address
510 Hwy 6
Suite 110
Sugar Land, TX 77478
Phone
(281) 565-0077
Fax
(281) 565-1022
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Jacob Dent, DDS
Title
Contracts Admin
Phone
(281) 565-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

510 Hwy 6
Suite 110
Sugar Land, TX 77478

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Sugar Land Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

510 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-0077

Practitioners & affiliated clinicians

Practitioners 3

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": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1750667176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HWY 6",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-565-0077",
            "fax_number": "281-565-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CONTRACTS ADMIN",
        "authorized_official_telephone_number": "281-565-0077",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Land Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.