My Mouth Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24453 Issued in TX

Legal business name

MY MOUTH DENTAL

Practice address

9101 Lakeview Pkwy
200
Rowlett, TX 75088-4540

Phone

(901) 340-4458

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Montoya, DDS

Title

President

Phone

(901) 340-4458

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1316224769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LAKEVIEW PKWY",
            "address_2": "200",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884540",
            "telephone_number": "901-340-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 LAKEVIEW PKWY",
            "address_2": "200",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884540",
            "telephone_number": "901-340-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOUTH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-340-4458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Pallet Services LLC
• Heather Mullineaux
• Denise Munion
• Sofia Michele Munoz, PA-C
• Saidat Kenny Musari, DPT
• Jeffrey Paul Myers, M.D.
• Ellen Meeyoung Nam, DDS
• Stacey Lyn Narzem
• Sarah Louise Natanson, RN
• National Birth Centers, Inc.

• General Practice Dentistry in Rowlett, TX
• Providers in Rowlett, 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 Nov 14, 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.