Serenity Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

30358 Issued in TX

Legal business name

SERENITY DENTAL CARE PLLC

Practice address

6519 FM 1488 Rd
Suite 505
Magnolia, TX 77354-3263

Phone

(281) 305-8835

NPI assigned

Aug 10, 2014

Organization subpart

No

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

Authorized official

Name

Jeffery Chung

Title

Dentist

Phone

(281) 305-8835

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1750790127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 FM 1488 RD",
            "address_2": "SUITE 505",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543263",
            "telephone_number": "281-305-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 FM 1488 RD",
            "address_2": "SUITE 505",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543263",
            "telephone_number": "281-305-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-305-8835"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Randolph Sears Sr., PHARMD
• Aimee N Seeley
• Select Physical Therapy Texas Limited Partnership (Select Physical Therapy)
• Michael M Selig, P.T.
• Shabnam Shawn Sepassi, NP-C
• Serenity Magnolia Dental PLLC (Serenity Dental)
• Nicole Ann Shanahan, RN
• Deborah Lynn Sharp
• Kenzie Shaver
• Reagan Shaw

• Dentist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.