Vmax Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21656 Issued in TX

Legal business name

VMAX DENTAL

Doing business as

Prosper Dentistry and Orthodontics

Practice address

110 N Preston Rd
Suite 10
Prosper, TX 75078-8643

Phone

(972) 346-2080

Fax

(972) 346-3551

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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

Dr. Thomas Russell Chandler, DDS, FAGD

Title

Dentist

Phone

(817) 681-4580

Specialties & licenses 4

Addresses

Other names 1

• Prosper Dentistry and Orthodontics Doing business as

Locations

Practitioners 1

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.

• Jeff R. Gilson, D.D.S.

  • General Practice Dentistry
  • Prosper, TX
  • NPI 1942331319
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1386052751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N PRESTON RD",
            "address_2": "SUITE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788643",
            "telephone_number": "972-346-2080",
            "fax_number": "972-346-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N PRESTON RD",
            "address_2": "SUITE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788643",
            "telephone_number": "972-346-2080",
            "fax_number": "972-346-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMAX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-681-4580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21656",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21239",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "18320",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "20894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Prosper, TX
• Providers in Prosper, 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 Jul 29, 2014; 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.