Active NPI
Stavros Jacques Sofos, DDS, MS
- Periodontics
- The Woodlands, TX
National Provider Identifier
1821688862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 37032
- Practice address
- 10110 Woodlands Pkwy Ste 1000
The Woodlands, TX 77382-2927 - Phone
- (713) 576-5133
- NPI assigned
- Jan 23, 2021
- Last updated
- Jun 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401418661 | VA | |
| Periodontics | 1223P0300X | 37032 | TX | Primary |
Addresses
Primary practice location
10110 Woodlands Pkwy Ste 1000
The Woodlands, TX 77382-2927
Mailing address
10110 Woodlands Pkwy Ste 1000
The Woodlands, TX 77382-2927
Phone (281) 419-4655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37032 | TX | MD | Periodontist |
| 0401418661 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLS Periodontics PLLC | Periodontics | Current | Accepting new patients |
Locations
10110 Woodlands Pkwy
Ste 1000
The Woodlands, TX 77382
Phone (281) 419-4655
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Woodlands Periodontics & Implant Dentistry
- Periodontics
- Spring, TX
- NPI 1336945203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1821688862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10110 WOODLANDS PKWY STE 1000",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773822927",
"telephone_number": "281-419-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10110 WOODLANDS PKWY STE 1000",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773822927",
"telephone_number": "713-576-5133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFOS",
"first_name": "STAVROS",
"middle_name": "JACQUES",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-23",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401418661",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "37032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.