M T Tabrizi Prodental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17166 Issued in TX

Legal business name

M T TABRIZI PRODENTAL PC

Practice address

3425 Highway 6
108
Sugar Land, TX 77478-4512

Phone

(281) 494-2626

Fax

(281) 494-4241

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Miss Trisha L Meyer

Title

Office Administrator

Phone

(281) 494-2626

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.

• Matt M Tabrizi, DDS

  • General Practice Dentistry
  • Sugar Land, TX
  • NPI 1508944893
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1972778041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6",
            "address_2": "108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784512",
            "telephone_number": "281-494-2626",
            "fax_number": "281-494-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6",
            "address_2": "108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784512",
            "telephone_number": "281-494-2626",
            "fax_number": "281-494-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M T TABRIZI PRODENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "281-494-2626",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Thanh Ly
• Vy Thao Ly, PHARMD
• William Patrick Lynch, P.T.
• Lynx Monitoring Services, LLC
• Kerry Leigh Lyon, FNP-C
• M. M. Alam MD PLLC
• M.G. Care LLC
• Jonathan Ma
• Zeqing Ma
• Robert Henry Maaskant, DDS

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.