DFW Facial Surgical Parnters LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

M6394 Issued in TX

Legal business name

DFW FACIAL SURGICAL PARNTERS LLC

Practice address

5824 W Plano Pkwy Ste 101
Plano, TX 75093-4697

Phone

(310) 914-9150

Fax

(310) 914-9705

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Steven D Sherry, M.D.

Title

Medical Doctor

Phone

(310) 914-9150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1811350614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 W PLANO PKWY STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934697",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 W PLANO PKWY STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934697",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW FACIAL SURGICAL PARNTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "310-914-9150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "M6394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Plano, TX
• Providers in Plano, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.