Sprout Dentistry For Kids Pllc
LBN: Sprout Dentistry For Kids Pllc
Sprout Dentistry For Kids Pllc is an health care organization with primary practice located at 6675 S. Custer Rd , Mckinney TX 75070. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Sprout Dentistry For Kids Pllc can be contacted via phone (469) 301-3212, or through Yoo, Sage S via phone (469) 301-3212.
Contact Information
Primary practice address
6675 S. Custer Rd
Mckinney TX 75070
Phone: (469) 301-3212
Fax: (469) 301-3213
Website:
Authorized official contact:
Name: Yoo, Sage S Doctor of Dental Medicine (DMD)
Phone: (469) 301-3212
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1821651894 |
|---|---|
| LBN Legal business name | Sprout Dentistry For Kids Pllc |
| DBA Doing business as | |
| Authorized official | Yoo, Sage S Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 16th, 2019 |
| Last updated | Apr 30th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821651894 | NPPES |
| Texas | Other | 2986143-06 | MEDICAID - TMHP |
| Texas | Other | 1144508292 | MEDICAID - TMHP |
| Texas | Other | 32386 | MEDICAID - TMHP |
| Texas | Other | 27280 | MEDICAID - TMHP |
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