Provider Demographics
NPI:1124546759
Name:MATHEWS, SAPNA MARY (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:MARY
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SAPNA
Other - Middle Name:MARY
Other - Last Name:VARGHESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5618 BENDING CREST CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6858
Mailing Address - Country:US
Mailing Address - Phone:210-995-7601
Mailing Address - Fax:
Practice Address - Street 1:8550 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-1109
Practice Address - Country:US
Practice Address - Phone:137-780-9999
Practice Address - Fax:713-490-6755
Is Sole Proprietor?:No
Enumeration Date:2017-09-04
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL319020673122300000X
TX35661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist