Organization Active NPI

Avalon Dental Group PC

  • Dental Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1861642498
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23231 Issued in TX
Legal business name
AVALON DENTAL GROUP PC
Practice address
2205 Williams Trace Blvd
Suite 108
Sugar Land, TX 77478-4514
Phone
(281) 240-5559
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Dr. Sangmo D. Yu, D.D.S.
Title
President
Phone
(281) 240-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23231 TX Primary

Addresses

Primary practice location

2205 Williams Trace Blvd
Suite 108
Sugar Land, TX 77478-4514

Mailing address

19919 Broadhead Manor Dr
Spring, TX 77379-2830
Phone (281) 240-5559

National Provider Directory

National Provider Directory
Tax ID family
Avalon Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1861642498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19919 BROADHEAD MANOR DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792830",
            "telephone_number": "281-240-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD",
            "address_2": "SUITE 108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784514",
            "telephone_number": "281-240-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SANGMO",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-240-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2008; 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.