Exceldent PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXCELDENT PLLC

Practice address

1102 S Washington St
Kaufman, TX 75142-2955

Phone

(903) 751-5459

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By 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. Mohammad Maftoun, DMDNPI 1710394861

Title

Owner

Phone

(903) 751-5459

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mohammad Maftoun, DMD

  • Dentist
  • Kaufman, TX
  • NPI 1710394861
  Authorized official Same address or phone

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1699327726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S WASHINGTON ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751422955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S WASHINGTON ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751422955",
            "telephone_number": "903-751-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "MAFTOUN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-751-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1710394861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Doak
• Dr Garry Guce and Associates, LLC
• Dr. Garry Guce and Associates, PLLC
• Dr. Julio Olivieri & Associates
• Tina Enderle
• Avery Nicolette Fain
• Family and Child Guidance Center (Child and Family Guidance Center)
• Marisa Fleck
• William Jay Fortner, MD
• Darla R Fountain, SLP

• General Practice Dentistry in Kaufman, TX
• Providers in Kaufman, 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 9, 2019; 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.