Organization Active NPI

Signature Dental PLLC

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1912287855
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24384 Issued in TX
Legal business name
SIGNATURE DENTAL PLLC
Practice address
1403 Highway 6 Ste 400
Sugar Land, TX 77478-4929
Phone
(281) 265-6977
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Bo WangNPI 1003845322
Title
Manager
Phone
(281) 265-6977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 24384 TX Primary

Addresses

Primary practice location

1403 Highway 6 Ste 400
Sugar Land, TX 77478-4929

Mailing address

1403 Highway 6 Ste 400
Sugar Land, TX 77478-4929

National Provider Directory

National Provider Directory

Locations

1403 Highway 6
Ste 400
Sugar Land, TX 77478
Phone (281) 265-6977

Practitioners & affiliated clinicians

Practitioners 1

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1912287855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 HIGHWAY 6 STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 HIGHWAY 6 STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784929",
            "telephone_number": "281-265-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-265-6977",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24384",
            "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 Aug 24, 2011; 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.