Organization Active NPI

Sweet Tooth Family Dentistry PC

  • Dental Clinic/Center
  • San Juan, TX
National Provider Identifier
1861987786
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SWEET TOOTH FAMILY DENTISTRY PC
Practice address
108 E FM 495 Ste B
San Juan, TX 78589-3725
Phone
(956) 704-2480
NPI assigned
Jun 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Dr. Frost Chen, DMD
Title
Dentist
Phone
(956) 800-2233

Specialties & licenses 1

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

Addresses

Primary practice location

108 E FM 495 Ste B
San Juan, TX 78589-3725

Mailing address

108 E FM 495 Ste B
San Juan, TX 78589-3725
Phone (956) 704-2480

Other names 1

  • Sweet Dental Doing business as

National Provider Directory

National Provider Directory

Locations

108 E FM 495
Ste B
San Juan, TX 78589
Phone (956) 704-2480

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": "1529712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1861987786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E FM 495 STE B",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893725",
            "telephone_number": "956-704-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E FM 495 STE B",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893725",
            "telephone_number": "956-704-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-23",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "FROST",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-800-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.