Provider Demographics
NPI:1952714990
Name:NGND PLLC
Entity type:Organization
Organization Name:NGND PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MBIBI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-337-3222
Mailing Address - Street 1:2950 GULF FWY S STE A
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6787
Mailing Address - Country:US
Mailing Address - Phone:281-337-3222
Mailing Address - Fax:281-337-9222
Practice Address - Street 1:2950 GULF FWY S STE A
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-6787
Practice Address - Country:US
Practice Address - Phone:281-337-3222
Practice Address - Fax:281-337-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-07
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29702122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty