SUGAR LAND PERIOCOSMETIC DENTAL PLLC NPI 1235994864

NPI Information

NPI: 1235994864
Provider Name: SUGAR LAND PERIOCOSMETIC DENTAL PLLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
2941 BROADWAY BEND DR STE 206
PEARLAND, TX
ZIP 77584
Phone: (832) 620-9131
Get Directions

SUGAR LAND PERIOCOSMETIC DENTAL PLLC is a periodontics dentist in Pearland, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SUGAR LAND PERIOCOSMETIC DENTAL PLLC NPI is 1235994864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2941 BROADWAY BEND DR STE 206
PEARLAND, TX
ZIP 77584-291
Phone: (832) 620-9131

The provider's authorized official is Zhijian Chen .
The authorized official title is President and has the following contact phone number (832) 620-9131.

The enumeration date for this NPI number is 2/13/2024 and was last updated on 2/13/2024.

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
1	1223P0300X	Dentist	Periodontics			Yes

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
1	22372	OTHER	TEXAS	DENTAL LICENSE

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

NPI Synchronization or Removal

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