Active NPI
Texas Dental Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Prosper, TX
National Provider Identifier
1750805602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 19330
- Legal business name
- TEXAS DENTAL SURGERY
- Practice address
- 1180 N Coit Rd Ste 40
Prosper, TX 75078 - Phone
- (469) 296-8680
- Fax
- (269) 296-8681
- NPI assigned
- Aug 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lori D Morgan
- Title
- Practice Manager
- Phone
- (469) 296-8680
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 23867 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 19330 | TX | Primary |
Addresses
Primary practice location
1180 N Coit Rd Ste 40
Prosper, TX 75078
Mailing address
1180 N Coit Road
Suite 40
Prosper, TX 75078
Phone (469) 296-8680
National Provider Directory
National Provider DirectoryLocations
1180 N Coit Rd
Ste 40
Prosper, TX 75078
Phone (469) 296-8680
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Prosper, TX
- NPI 1184156515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1750805602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 N COIT ROAD",
"address_2": "SUITE 40",
"city": "PROSPER",
"state": "TX",
"postal_code": "75078",
"telephone_number": "469-296-8680",
"fax_number": "469-296-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N COIT RD STE 40",
"city": "PROSPER",
"state": "TX",
"postal_code": "75078",
"telephone_number": "469-296-8680",
"fax_number": "269-296-8681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS DENTAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-02",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "469-296-8680",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "23867",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "19330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.