Vita Dental Gosling PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26066 Issued in TX

Legal business name

VITA DENTAL GOSLING PLLC

Practice address

5250 FM 2920 Rd
Ste D
Spring, TX 77388-3003

Phone

(609) 271-0278

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sang Pil Yu, DDS

Title

Owner

Phone

(609) 271-0278

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1912418732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 FM 2920 RD",
            "address_2": "STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883003",
            "telephone_number": "609-271-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FM 2920 RD",
            "address_2": "STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883003",
            "telephone_number": "609-271-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA DENTAL GOSLING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SANG PIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-271-0278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.