Dayton Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24348 Issued in TX

Legal business name

DAYTON DENTAL PLLC

Practice address

400 E Highway 90 Ste 402
Dayton, TX 77535-2630

Phone

(936) 681-8592

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Darren Earl Boggs

Title

Chief of Operations

Phone

(940) 368-1495

Specialties & licenses 1

Addresses

Other names 1

• Smile Club Doing business as

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1376041764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "940-368-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HIGHWAY 90 STE 402",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352630",
            "telephone_number": "936-681-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "940-368-1495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Monique Cox, FNP-C
• Melinda F Crawford, L.P.C.
• Wanda Crayton
• Crestline One Supplies LLC
• Dayton Chiropractic Center LLC
• Dayton Isd
• Dayton Tarkington Community Center, Inc.
• Daniel Wyatt Deloney
• Dr. Goin and Associates
• Dr. Goin and Associates

• General Practice Dentistry in Dayton, TX
• Providers in Dayton, 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 Jan 31, 2018; 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.