Modern Dental Professionals Abilene PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL PROFESSIONALS ABILENE PC

Doing business as

Monarch Dental

Practice address

3329 Turner PLZ
Abilene, TX 79606-8709

Phone

(325) 691-1980

Fax

(325) 695-1851

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roy D. Smith, DDS

Title

Owner

Phone

(325) 691-1980

Specialties & licenses 1

Addresses

Other names 1

• Monarch Dental Doing business as

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1275603946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 WINDCREST DR",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243075",
            "telephone_number": "325-691-1980",
            "fax_number": "325-695-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 TURNER PLZ",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068709",
            "telephone_number": "325-691-1980",
            "fax_number": "325-695-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS ABILENE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-691-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kallie Mitzelfelt
• Grace Chishongo Mlondiwa, CRNA
• Barry Lynn Moak, M.D.
• Mobile Sleep Solutions LLC
• Mobility Consultants, Inc.
• Matthew John Mohr Jr., RPH, PHARMD
• Rachel Jones Monhollon, OTR
• Brandy L. Montgomery, FNP
• Kiernan Moody, PT
• Melissa Moody, LPC

• General Practice Dentistry in Abilene, TX
• Providers in Abilene, 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 Dec 22, 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.