Dragonfly Curb Side Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DRAGONFLY CURB SIDE DENTAL

Practice address

2775 Villa Creek Dr Ste B-272
Farmers Branch, TX 75234-7432

Phone

(214) 674-2635

Fax

(469) 283-2931

NPI assigned

May 2, 2019

Last updated

Jun 11, 2019By 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

Mr. Clifford Masters

Title

Ceo

Phone

(214) 674-2635

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1326603697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 VILLA CREEK DR STE B-272",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347432",
            "telephone_number": "214-674-2635",
            "fax_number": "469-283-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 VILLA CREEK DR STE B-272",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347432",
            "telephone_number": "214-674-2635",
            "fax_number": "469-283-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY CURB SIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-674-2635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL BOARD",
            "identifier": "M-24472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.