Mark Edward Davis, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18-114 Issued in TX

Practice address

3535 Victory Group Way Ste 605
Frisco, TX 75034-6742

Phone

(972) 335-8717

Fax

(972) 731-0264

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark E. Davis,D.D.S.,P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Frisco, TX
  • NPI 1144478652
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1275625196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346742",
            "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 STE 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346742",
            "telephone_number": "972-335-8717",
            "fax_number": "972-731-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18-114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dian Davis
• Elizabeth Rose Davis, LMSW
• Jessica Kate Davis, LPC
• Julianne Marie Davis, M.S.
• Mariah Davis
• Mila Davis, D.D.S
• Trinity Davis
• Ajzhane Ravon Dawn
• Richard Taylor Dawson, MSM, PA-C
• Ashlyn Day

• Oral and Maxillofacial Surgery (Dentist) in Frisco, TX
• Providers in Frisco, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.