Modern Dental Professionals - Oklahoma, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL PROFESSIONALS - OKLAHOMA, PC

Practice address

6501 Windcrest Dr
Ste. #100
Plano, TX 75024-3075

Phone

(972) 212-8135

Fax

(972) 767-4885

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Paul Peek, DDS

Title

PC Owner/Dentist

Phone

(972) 212-8135

Specialties & licenses 1

Addresses

Other names 1

• Monarch Dental - May Crossing Other name

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1629325261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123507",
            "telephone_number": "405-996-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 WINDCREST DR",
            "address_2": "STE. #100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243075",
            "telephone_number": "972-212-8135",
            "fax_number": "972-767-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS - OKLAHOMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PC OWNER/DENTIST",
        "authorized_official_telephone_number": "972-212-8135",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Dental - May Crossing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David C Mobley, M.D.
• James Matthew Mobley, M.D.
• Mary Mobley, M.D.
• Frank William Mocek, M.D.
• Isitri Modak, MD
• Modern Dental Professionals, Oklahoma P.C.
• Modern Sleep Solutions PLLC
• Modern Vue Eyecare PLLC
• Gunjan M Modi, M.D.
• Seema C Modi, MD

• General Practice Dentistry in Plano, TX
• Providers in Plano, 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 Aug 14, 2012; 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.