Organization Active NPI

Mark E. Davis,D.D.S.,P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Frisco, TX
National Provider Identifier
1144478652
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18-114 Issued in TX
Legal business name
MARK E. DAVIS,D.D.S.,P.A.
Practice address
3535 Victory Group Way
Ste. 605
Frisco, TX 75034-6719
Phone
(972) 335-8717
Fax
(972) 731-0264
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Dr. Mark Edward Davis, D.D.S.NPI 1275625196
Title
President
Phone
(972) 335-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 18-114 TX Primary

Addresses

Primary practice location

3535 Victory Group Way
Ste. 605
Frisco, TX 75034-6719

Mailing address

3535 Victory Group Way
Ste. 605
Frisco, TX 75034-6719
Phone (972) 335-8717

Other names 1

  • Frisco Oral & Dental Implant Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

3535 Victory Group Way
Ste 605
Frisco, TX 75034
Phone (972) 335-8717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1144478652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY",
            "address_2": "STE. 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346719",
            "telephone_number": "972-335-8717",
            "fax_number": "972-731-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY",
            "address_2": "STE. 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346719",
            "telephone_number": "972-335-8717",
            "fax_number": "972-731-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. DAVIS,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-335-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18-114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisco Oral & Dental Implant Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.