Max Dental Care PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24588 Issued in TX

Legal business name

MAX DENTAL CARE PA

Practice address

5003 E Lancaster Ave
Fort Worth, TX 76103-3833

Phone

(817) 413-6666

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Anthony D Pham

Title

DDS

Phone

(214) 500-3608

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1215226444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033833",
            "telephone_number": "817-413-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033833",
            "telephone_number": "817-413-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "214-500-3608"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wilkowski Mauer
• Joyce E Mauk, MD
• Richard H Mauk, MD
• Gabrielle Mavelian, DO
• Gaurav Gajanan Mavinkurve, M.D.
• Maxim Healthcare Services, Inc.
• Jason Maxtin, LCSW
• Maxum Health Services Corp
• Maxum Health Services Corp.
• Maxus Healthcare Partners LLC

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 Mar 30, 2011; 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.