DFW Oral and Maxillofacial Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20816 Issued in TX

Legal business name

DFW ORAL AND MAXILLOFACIAL SURGERY, P.C.

Doing business as

Pedro F. Franco, D.D.S.

Practice address

1110 Cottonwood LN Ste 110
Irving, TX 75038-6111

Phone

(972) 594-7414

Fax

(972) 594-1834

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

Mrs. Anita Roush

Title

Practice Manager

Phone

(972) 594-7414

Specialties & licenses 1

Addresses

Other names 1

• Pedro F. Franco, D.D.S. Doing business as

Tax ID family

DFW Oral and Maxillofacial Surgery 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.

• DFW Oral and Maxillofacial Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Irving, TX
  • NPI 1336582444
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro F Franco, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
  • NPI 1073574760
  NPD (past)
• Shyam Sunder Indrakanti, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mesquite, TX
  • NPI 1073049623
  NPD (past)
• Taylor Jieun Jung, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
  • NPI 1336568823
  NPD (past)
• Jared Murphy Gilliland, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1427586957
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1356526081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386111",
            "telephone_number": "972-594-7414",
            "fax_number": "972-594-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386111",
            "telephone_number": "972-594-7414",
            "fax_number": "972-594-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW ORAL AND MAXILLOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-594-7414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pedro F. Franco, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Irving, TX
• Providers in Irving, 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 Dec 31, 2007; 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.