Southgate Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTHGATE DENTAL PLLC

Practice address

14550 Westheimer Rd Ste 130
Houston, TX 77077-5396

Phone

(832) 720-7708

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Mussadiq IftikharNPI 1992956585

Title

Dentist/Managing Partner

Phone

(512) 677-1307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mussadiq Iftikhar, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1992956585
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1962190264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 WESTHEIMER RD STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 WESTHEIMER RD STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775396",
            "telephone_number": "832-720-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "MUSSADIQ",
        "authorized_official_title_or_position": "DENTIST/MANAGING PARTNER",
        "authorized_official_telephone_number": "512-677-1307"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 26, 2023; 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.