Mossman Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOSSMAN DENTAL PLLC

Doing business as

The Dental Park

Practice address

634 Sunland Park Dr
El Paso, TX 79912-5138

Phone

(972) 838-3772

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Maxim M Mossman, DDS

Title

Owner

Phone

(972) 838-3772

Specialties & licenses 2

Addresses

Other names 1

• The Dental Park Doing business as

Locations

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1629736467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195487",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SUNLAND PARK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125138",
            "telephone_number": "972-838-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "MOSSMAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-838-3772",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dental Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karina P Mosier
• Nancy Mosinski
• Alma Graciela Mosley, SLP
• Myka Mosley
• Carmen Lucero Mosqueda, OD
• Paul A. Mostrom
• Arie Isarel Moszkowicz, MD
• Roseann Mota, RN
• Tionay Craion Mota, PA-C
• Kimberly Motongo

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.