Dental Surgeon & Associates, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL SURGEON & ASSOCIATES, PLLC

Practice address

970 S Fry Rd
Katy, TX 77450-3062

Phone

(281) 579-2233

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Aditya BhawsarNPI 1457802944

Title

Owner

Phone

(281) 579-2233

Specialties & licenses 1

Addresses

Other names 1

• Lifetime Dental & Implant Center Doing business as

Locations

Practitioners 3

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

• Aditya Bhawsar, BDS, MDS

  • Prosthodontics
  • Victoria, TX
  • NPI 1457802944

  Dentist

  NPD Authorized official
• Brent Eugene Fossum, D.D.S.

  • Dentist
  • Austin, TX
  • NPI 1780996959
  NPD (past)
• William Garry Waldrop, DDS

  • Dentist
  • Katy, TX
  • NPI 1083839195
  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1992441554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503062",
            "telephone_number": "281-579-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503062",
            "telephone_number": "281-579-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SURGEON & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "BHAWSAR",
        "authorized_official_first_name": "ADITYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-579-2233"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Dental & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC.
• Dental Office of Katy, PC
• Dental Professionals of Texas, P.a.
• Dentistry by Rse
• Dentists of Katy Park, PC
• Patricia Deoliveiralimamunoz, PHD
• Alexia Ilian Derma Salazar
• Dermatology Associates of Katy

• All providers in Katy, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.