Modern Dental Professionals-Midland Odessa PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC

Doing business as

Monarch Dental

Practice address

2818 N County Rd W
Odessa, TX 79764-1666

Phone

(714) 428-1300

Fax

(714) 428-1390

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roy D. Smith, DDS

Title

Owner

Phone

(714) 428-1300

Specialties & licenses 1

Addresses

Other names 1

• Monarch Dental Doing business as

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1366512030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 WINDCREST DR",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243075",
            "telephone_number": "714-428-1300",
            "fax_number": "714-428-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 N COUNTY RD W",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797641666",
            "telephone_number": "714-428-1300",
            "fax_number": "714-428-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-428-1300",
        "authorized_official_name_prefix": "Dr.",
        "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"
        }
    ]
}

• Keerthi K Miryala, DMD
• Mission Health, PLLC (Mission Health Lifestyle and Wellness Clinic)
• Gordon Ray Mitchell, HIS
• Liberty Dawn Mitchell
• Richard L Mittan, PA-C
• Bosky Nilesh Modi, MD
• Mojo Speech
• Claudia P Molina, M.D.
• Brisa Ruby Molinar
• Leslie Molinar, LMT

• General Practice Dentistry in Odessa, TX
• Providers in Odessa, 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 Dec 12, 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.