NPIMap

Organization Active NPI

Dosa Plano, LLC

Doing business as Dallas Oral Surgery Willowbend

  • Oral and Maxillofacial Surgery (Dentist)
  • Plano, TX
National Provider Identifier
1053552208
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22076 Issued in TX
Legal business name
DOSA PLANO, LLC
Doing business as
Dallas Oral Surgery Willowbend
Practice address
5824 W Plano Pkwy
Ste 101
Plano, TX 75093-4630
Phone
(972) 267-3223
Fax
(972) 733-0567
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven D Sherry, DDS, MDNPI 1568541563
Title
Sole Member/Owner
Phone
(214) 392-8115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 22076 TX Primary

Addresses

Primary practice location

5824 W Plano Pkwy
Ste 101
Plano, TX 75093-4630

Mailing address

5824 W Plano Pkwy
Ste 101
Plano, TX 75093-4630
Phone (972) 267-3223

Other names 1

  • Dallas Oral Surgery Willowbend Doing business as

National Provider Directory

National Provider Directory

Locations

5824 W Plano Pkwy
Ste 101
Plano, TX 75093
Phone (972) 267-3223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1053552208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 W PLANO PKWY",
            "address_2": "STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934630",
            "telephone_number": "972-267-3223",
            "fax_number": "972-733-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 W PLANO PKWY",
            "address_2": "STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934630",
            "telephone_number": "972-267-3223",
            "fax_number": "972-733-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOSA PLANO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "214-392-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Oral Surgery Willowbend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.