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SPROUT DENTISTRY FOR KIDS PLLC NPI 1821651894


NPI Information

NPI: 1821651894
Provider Name: SPROUT DENTISTRY FOR KIDS PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6675 S. CUSTER RD
MCKINNEY, TX
ZIP 75070
Phone: (469) 301-3212
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SPROUT DENTISTRY FOR KIDS PLLC is a pediatric dentistry dentist in Mckinney, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SPROUT DENTISTRY FOR KIDS PLLC NPI is 1821651894. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6675 S. CUSTER RD
MCKINNEY, TX
ZIP 75070
Phone: (469) 301-3212
Fax: (469) 301-3213

The provider's authorized official is Sage S Yoo .
The authorized official title is Pediatric Dentist/partner and has the following contact phone number (469) 301-3212.

The enumeration date for this NPI number is 4/16/2019 and was last updated on 4/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11144508292OTHERTEXASMEDICAID - DENTALQUEST
227280OTHERTEXASMEDICAID - MCNA
32986143-06OTHERTEXASMEDICAID - TMHP
432386OTHERTEXASMEDICAID - MCNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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