Mary Dubois, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39471 Issued in TX

Practice address

148 Country Lane Dr
Lumberton, TX 77657-6802

Phone

(409) 755-3933

NPI assigned

Jun 6, 2022

Last updated

Jul 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dubois Dental, PLLC

  • Dental Clinic/Center
  • Lumberton, TX
  • NPI 1811850449
  NPD
• Family Dental Care-Lumberton PLLC

  dba Family Dental Care

  • General Practice Dentistry
  • Lumberton, TX
  • NPI 1972266005
  NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1699404897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 COUNTRY LANE DR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776576802",
            "telephone_number": "409-755-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-335-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09988",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatherapy of Southeast Texas
• Hiteshkumar Devani, DMD
• Victor Dinh
• Jessica Dotson
• Dubois Dental, PLLC
• Megan Duhon-Pratt
• Meagan Yvonne Dungan, M.S., CCC-SLP
• Shawn Lawrence Dunnigan, O.D.
• Christie Earnheart, LPC-A
• Candace Renee Eastman, FNP-C

• General Practice Dentistry in Lumberton, TX
• Providers in Lumberton, 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 22, 2023; 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.