Supreme Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24752 Issued in TX

Legal business name

SUPREME DENTISTRY PLLC

Practice address

5900 Interstate 45 N
Suite #104,105
Houston, TX 77076-4039

Phone

(832) 282-6231

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Joseph Nguyen

Title

Owner

Phone

(832) 282-6231

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1952788960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 CHARLESTON HEIGHTS LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793483",
            "telephone_number": "832-282-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 INTERSTATE 45 N",
            "address_2": "SUITE #104,105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764039",
            "telephone_number": "832-282-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-282-6231"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Care Physician Group PLLC
• Supreme Chiropractic Clinic (Supreme Spine Care)
• Supreme Choice Med Care LLC
• Supreme Choice Med Care, LLC
• Supreme Compounding LLC (Supreme Compounding)
• Supreme Health Care Inc
• Supreme Home Care, LLC.
• Supreme Medical Center LLC
• Supreme Nursing Services, Inc.
• Supreme Supports

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.