MEDICARE: DR. SAPNA MARY MATHEWS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	319020673	IL
2	1223G0001X	General Practice Dentistry	35661	TX
3	122300000X	Dentist	35661	TX

General Provider Information

NPI Number	:	1124546759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAPNA MARY MATHEWS DMD

Provider Business Mailing Address
First Line	:	5618 BENDING CREST CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6858
Country	:	US
Telephone Number	:	210-995-7601
Fax Number	:

Provider Business Practice Location Address
First Line	:	6065 HILLCROFT ST STE 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-1005
Country	:	US
Telephone Number	:	713-778-9191
Fax Number	:	713-778-9231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2017
Last Update Date	:	09/13/2024

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