Jerit Davis Dental Practice

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22723 Issued in TX

Legal business name

JERIT DAVIS DENTAL PRACTICE

Practice address

4685 Eldorado Pkwy Ste 200
Frisco, TX 75034-0290

Phone

(214) 618-5450

Fax

(214) 618-5447

NPI assigned

Jun 29, 2009

Last updated

Jun 29, 2009By 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

Mrs. Haylee N. Davis, MBA

Title

Office Manager

Phone

(214) 618-5450

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mark Burton Jones, DDS

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1427296466
  NPD (past)
• Caleb Mangum

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1619454287
  NPD (past)
• David Ruben Nguyen, DDS

  • Public Health Dentistry
  • Frisco, TX
  • NPI 1518306877
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1073741070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 ELDORADO PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340290",
            "telephone_number": "214-618-5450",
            "fax_number": "214-618-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 ELDORADO PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340290",
            "telephone_number": "214-618-5450",
            "fax_number": "214-618-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERIT DAVIS DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HAYLEE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-618-5450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Brown MD PA
• Jemini Abraham, MD PLLC
• Warren Blake Jenkins, D.O.
• Jennifer Rose Gulick MD PLLC
• Kristine Jennings, RN, MSN, ACNP-BC
• Jerry W. Lewis MD PA
• Robin Jessup, MS, PT
• Jettwell Healthcare LLC
• Li Jiang, M.D.
• Jig International LLC

• General Practice Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.