Organization
SPROUT DENTISTRY FOR KIDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAGE S YOO DMD (PEDIATRIC DENTIST/PARTNER)
(469) 301-3212
Entity
Organization
Contact information
Practice address
6675 S. CUSTER RD, MCKINNEY, TX 75070
(469) 301-3212
(469) 301-3213
Mailing address
585 CHARDONNAY DR, FAIRVIEW, TX 75069-1542
(469) 301-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144508292
MEDICAID - DENTALQUEST
TX
01
—
27280
MEDICAID - MCNA
TX
01
—
2986143-06
MEDICAID - TMHP
TX
01
—
32386
MEDICAID - MCNA
TX
Enumeration date
04/16/2019
Last updated
04/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us