Modern Dental Professionals, Oklahoma P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL PROFESSIONALS, OKLAHOMA P.C.

Doing business as

Monarch Dental

Practice address

6501 Windcrest Dr Ste 100
Plano, TX 75024-3087

Phone

(972) 212-8350

Fax

(972) 212-8203

NPI assigned

Mar 31, 2011

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Peek, DDS

Title

PC Owner

Phone

(972) 212-8350

Specialties & licenses 1

Addresses

Other names 1

• Monarch Dental Doing business as

Tax ID family

Modern Dental Professionals Oklahoma PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modern Dental Professionals - Oklahoma PC

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1457612798
  NPD tax ID

Locations

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1285923193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 WINDCREST DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243087",
            "telephone_number": "972-212-8350",
            "fax_number": "972-212-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 WINDCREST DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243087",
            "telephone_number": "972-212-8350",
            "fax_number": "972-212-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS, OKLAHOMA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "972-212-8350",
        "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"
        }
    ]
}

• James Matthew Mobley, M.D.
• Mary Mobley, M.D.
• Frank William Mocek, M.D.
• Isitri Modak, MD
• Modern Dental Professionals - Oklahoma, PC
• Modern Sleep Solutions PLLC (Sleep Rehab)
• Modern Vue Eyecare PLLC
• Gunjan M Modi, M.D.
• Seema C Modi, MD
• Modoma Physical Medicine

• General Practice Dentistry in Plano, TX
• Providers in Plano, 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 Jul 11, 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.