Maxine Danso, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40260 Issued in TX

Practice address

1811 Highway 287 N Ste 160
Mansfield, TX 76063-7571

Phone

(817) 405-2260

NPI assigned

Mar 10, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1700411733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 VICTORY LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527464",
            "telephone_number": "989-430-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HIGHWAY 287 N STE 160",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637571",
            "telephone_number": "817-405-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSO",
        "first_name": "MAXINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600410",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Camille Daniel, MS, LSSP, BCBA
• Daniela Zambon DDS Ms PC
• Clive G Daniels, MD
• Opeoluwa Daniyan, MD
• Wendy Jean Danner, LCSW CCM
• Paul Walter Daum, M.D.
• Jessica Marie Davault, M.S. CCC-SLP
• Pramesh Chandrakant Dave, M.D.
• David N Podgurecki, MD PA
• Heather Smith Davidson, PT

• Dentist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.