Sanger Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30664 Issued in TX

Legal business name

SANGER DENTAL PLLC

Practice address

617 N 10TH St
204/205
Sanger, TX 76266-4240

Phone

(708) 522-4457

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Syed K Iqbal

Title

Direct Owner

Phone

(708) 522-4457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1811445000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N 10TH ST",
            "address_2": "204/205",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762664240",
            "telephone_number": "708-522-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N 10TH ST",
            "address_2": "204/205",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762664240",
            "telephone_number": "708-522-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "708-522-4457"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Harvey Reed Jr., DDS
• Brandi Richards, RN
• Sharon Robinson, M.S.
• S & J Pharmacy Inc (S&J Pharmacy)
• Cassondra R Sanders, RN
• Sanger Dental-Sanger PLLC
• Sanger Dentistry Partners PLLC
• Sanger Eye Care, PLLC (Texas State Optical)
• Sanger Family Dentistry
• Sanger Family Medical Clinic PLLC

• General Practice Dentistry in Sanger, TX
• Providers in Sanger, 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 Sep 15, 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.