Decatur Advanced Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DECATUR ADVANCED DENTAL

Doing business as

Smart Mouth Family Dental

Practice address

301 W Main St
Decatur, TX 76234-1383

Phone

(940) 627-3730

Fax

(512) 582-8612

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria G Torres

Title

Office Manager

Phone

(940) 627-3730

Specialties & licenses 1

Addresses

Other names 1

• Smart Mouth Family Dental Doing business as

Locations

Practitioners 2

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.

• David Gatti Corless, D.M.D

  • General Practice Dentistry
  • Decatur, TX
  • NPI 1467731679
  NPD (past)
• Scott E Selz, D.D.S.

  • General Practice Dentistry
  • Decatur, TX
  • NPI 1467573881
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1073095980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341383",
            "telephone_number": "940-627-3730",
            "fax_number": "512-582-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341383",
            "telephone_number": "940-627-3730",
            "fax_number": "512-582-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR ADVANCED DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-627-3730"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Mouth Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matison Marie Davis, LM
• Nancy Davis, RN
• Tabitha Lynn Davis
• DCS Medical PA (Integrity Urgent Care)
• Jose L De Leon, P.A.-C.
• Decatur Dental PLLC
• Decatur Health Services, LLC
• Decatur Health Services, LLC
• Decatur Health Services, LLC
• Decatur Health Services, LLC

• Dentist in Decatur, TX
• Providers in Decatur, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.