SPROUT DENTISTRY FOR KIDS PLLC (NPI# 1821651894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821651894 |
| Entity Type | Organization |
| Organization Name | SPROUT DENTISTRY FOR KIDS PLLC |
| Practice Address |
6675 S. Custer Rd Mckinney TX 75070 |
| Mailing Address |
585 Chardonnay Dr Fairview TX 75069-1542 |
| Practice Telephone | 4693013212 |
| Practice Fax Number | 4693013213 |
| Mailing Telephone | 4693013212 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | DR. SAGE S YOO (PEDIATRIC DENTIST/PARTNER) |
| Authorized Official Telephone | 4693013212 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID - DENTALQUEST | 1144508292 | 01 |
| TX | MEDICAID - MCNA | 27280 | 01 |
| TX | MEDICAID - TMHP | 2986143-06 | 01 |
| TX | MEDICAID - MCNA | 32386 | 01 |
| Street Address |
6675 S. CUSTER RD |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199218 | Quality Family Health Care Clinic P L L C | Family Medicine | 10101 Westridge Blvd, Mckinney, TX 75070 | 2020-09-21 |
| 1841803913 | Trent Philip Hyatt | Physical Therapist | Medical Village 7300, W Eldorado Pkwy Ste 165, Mckinney, TX 75070 | 2020-08-28 |
| 1700421518 | Janet Lin Md Pllc | Internal Medicine | 3950 South Ridge Rd., Suite 100, Mckinney, TX 75070 | 2019-11-15 |
| 1083255939 | Care Most Dental Pllc | Clinic/Center | 3725 S. Lake Forest, Suite 108, Mckinney, TX 75070 | 2019-10-02 |
| 1780230946 | Steve J. Kim, Dds, Pllc | Clinic/Center | 3041 S. Custer Rd., Suite 600, Mckinney, TX 75070 | 2019-08-14 |
| 1457822090 | Jamye Brook Forbus | Registered Nurse | 4825 Cedar Crest Dr, Mckinney, TX 75070 | 2018-12-07 |
| 1356811327 | Zia Uddin Md Clarity Medical Pllc | Psychiatry & Neurology | 8751 Collin Mckinney Pkwy Building 1, Unit 103, Mckinney, TX 75070 | 2018-12-03 |
| 1821564667 | Dcsr, Pllc | Dentist | 312 N Central Expressway, Mckinney, TX 75070 | 2018-10-19 |
| 1396226205 | Apteek Rx | Pharmacy | 7810 Eldorado Pkwy, Suite 200, Mckinney, TX 75070 | 2018-08-28 |
| 1336620871 | Kenyon Yar'maude Bonds | Physical Therapy Assistant | 8300 El Dorado Pkwy West, Mckinney, TX 75070 | 2018-08-23 |
| Find all providers in zip 75070 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891133179 | Dennis M Bear | Dentist | 210 N Coit Rd Ste 230, Mckinney, TX 75071-0149 | 2013-06-10 |
| 1568733194 | Terry Scott Dmd and Associates, Pa | Dentist | 7700 W Eldorado Pkwy, Suite 200, Mckinney, TX 75070-5654 | 2012-01-12 |
| 1144508292 | Justin Nile Chan | Dentist | 6675 S Custer Rd Ste 200, Mckinney, TX 75070-1838 | 2011-07-22 |
| 1740500057 | Scott William Ludlow | Dentist | 1321 N. Tennessee St., Ste. 108, Family Dental of Mckinney, Mckinney, TX 75069-0001 | 2010-06-09 |
| 1598959819 | Pediatric Dentistry for Small Smiles, P.a. | Dentist | 5971 Virginia Parkway, Ste. 300, Mckinney, TX 75071 | 2007-08-29 |
| 1275690893 | Jennifer Ann Rutledge | Dentist | 5323 W University Dr, Suite 100, Mckinney, TX 75071-7824 | 2007-01-02 |
| 1689733487 | Neil Dean | Dentist | 3301 Eldorado Pkwy, Suite 200, Mckinney, TX 75070-4221 | 2006-12-07 |
| 1932208634 | Timothy M Brister | Dentist | 3109 S. Custer Road, Suite 300, Mckinney, TX 75070 | 2006-09-21 |
| 1700420445 | Dentistry for Children of Texas, Pllc | Dentist | 3301 Eldorado Pkwy Ste 200, Mckinney, TX 75070-4200 | 2019-11-06 |
| 1477946333 | Rutledge Pediatric Dentistry | Dentist | 5323 W University Dr, Suite 100, Mckinney, TX 75071-7824 | 2015-03-16 |
| Find all providers in MCKINNEY | ||||
Please comment or provide details below to improve the information on SPROUT DENTISTRY FOR KIDS PLLC.
| 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.