SUGAR LAND MODERN DENTISTRY, PC (NPI# 1033410568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033410568 |
| Entity Type | Organization |
| Organization Name | SUGAR LAND MODERN DENTISTRY, PC |
| Other Organization Name | SUGAR LAND MODERN DENTISTRY |
| Practice Address |
19984 Southwest Fwy Sugar Land TX 77479-6505 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 8325952100 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | DR. JACOB DENT (OWNER DOCTOR) |
| Authorized Official Telephone | 8325952100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sugar Land Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
19984 SOUTHWEST FWY |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922415090 | Leslie Jean | Dentist | 19984 Southwest Fwy, Sugar Land, TX 77479-6505 | 2014-07-21 |
| 1467796391 | Jinita J Parekh | Dentist | 19984 Southwest Fwy, Sugar Land, TX 77479-6505 | 2012-11-15 |
| 1518212943 | Justin John Seaman | Dentist | 19984 Southwest Fwy, Sugar Land, TX 77479-6505 | 2012-07-23 |
| 1245528686 | Olamide Osundolu Atanda | Dentist | 19984 Southwest Fwy, Sugar Land, TX 77479-6505 | 2011-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785207 | Zehra Razvi | Dentist | 2831 Country Club Blvd, Sugar Land, TX 77478-3625 | 2020-09-19 |
| 1235773813 | Emily Marie Gardner | Dentist | 4724 Sweetwater Blvd Ste 106, Sugar Land, TX 77479-3150 | 2019-11-06 |
| 1538712989 | Christine Khanh Nguyen | Dentist | 13807 Abbey Ln, Sugar Land, TX 77498-6301 | 2019-07-24 |
| 1891264255 | Dragana Angelova Dental Pa | Dentist | 1111 Highway 6 Ste 140, Sugar Land, TX 77478-4913 | 2018-11-15 |
| 1750864740 | Stephen Tam | Dentist | 5719 Bayberry Way, Sugar Land, TX 77479-4122 | 2018-09-14 |
| 1659857332 | Acs Ventures LLC | Dentist | 3425 Highway 6 Ste 108, Sugar Land, TX 77478-4439 | 2018-07-16 |
| 1972032100 | Maria Rosa Yang | Dentist | 13134 Dairy Ashford Rd Ste 200, Sugar Land, TX 77478-3757 | 2017-06-10 |
| 1912456187 | Ariana Juliet Moreno | Dentist | 2509 Hadley Cir, Sugar Land, TX 77478-1866 | 2016-09-28 |
| 1306391115 | Forrest Anthony Eugene Arguelles | Dentist | 4655 Sweetwater Blvd Ste 400, Sugar Land, TX 77479-3015 | 2016-08-22 |
| 1720437171 | Woodbridge Dental, P.a. | Dentist | 418 Olmstead Park Dr, Sugar Land, TX 77479-4440 | 2016-06-07 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
Please comment or provide details below to improve the information on SUGAR LAND MODERN DENTISTRY, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.