Maxillofacial Diagnostics, PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

3533 Issued in AR

Legal business name

MAXILLOFACIAL DIAGNOSTICS, PLLC

Doing business as

Maxillofacial Diagnostics, PLLC

Practice address

2300 Andover CT
Suite 400
Little Rock, AR 72227-3987

Phone

(501) 319-7520

Fax

(501) 319-7521

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne K Coco, DDS,MDS, PA

Title

Prosthodontists

Phone

(501) 319-7520

Specialties & licenses 2

Addresses

Other names 1

• Maxillofacial Diagnostics, PLLC Doing business as

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1215229786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ANDOVER CT",
            "address_2": "SUITE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722273987",
            "telephone_number": "501-319-7520",
            "fax_number": "501-319-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ANDOVER CT",
            "address_2": "SUITE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722273987",
            "telephone_number": "501-319-7520",
            "fax_number": "501-319-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLOFACIAL DIAGNOSTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "COCO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROSTHODONTISTS",
        "authorized_official_telephone_number": "501-319-7520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AR",
            "license": "3533",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AR",
            "license": "3543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxillofacial Diagnostics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy Ethelyn Mattox, MHPP
• April Mauldin, CRNA
• Melodie Denise Mauney, OTR/L
• Michail Mavros, M.D.
• Nicholas Daniel Max, RN
• Maxim Healthcare Services, Inc.
• Robert Todd Maxson, M.D.
• Billie Carol Maxwell, APN
• Brittany Maxwell
• Kimberly B Maxwell

• Prosthodontics in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Prosthodontics in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.