Active NPI
Mission Dentist PLLC
Doing business as Affordable Dentist of Mission
- General Practice Dentistry
- Mission, TX
National Provider Identifier
1871490763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MISSION DENTIST PLLC
- Doing business as
- Affordable Dentist of Mission
- Practice address
- 1123 E 9TH St Ste 10-a
Mission, TX 78572-5465 - Phone
- (972) 838-3772
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- 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
- Maxim Mossman, DDS
- Title
- Owner Dentist
- Phone
- (972) 838-3772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1123 E 9TH St Ste 10-a
Mission, TX 78572-5465
Mailing address
670 W Campbell Rd Ste 110
Richardson, TX 75080-3361
Phone (972) 838-3772
Other names 1
- Affordable Dentist of Mission
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1871490763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 W CAMPBELL RD STE 110",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803361",
"telephone_number": "972-838-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 E 9TH ST STE 10-A",
"city": "MISSION",
"state": "TX",
"postal_code": "785725465",
"telephone_number": "972-838-3772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION DENTIST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "MOSSMAN",
"authorized_official_first_name": "MAXIM",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "972-838-3772",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affordable Dentist of Mission",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
- Mission Adult & Senior Care Center PA.
- Mission Childrens Clinic
- Mission Childrens Day and Night Clinic (Juan Aguilera and Associates)
- Mission Cisd
- Mission Dental PLLC (Mission Dental)
- Mission Dialysis Access Center, PA (Hyperbaric & Wound Specialists)
- Mission Doctors Group (Mission Heart and Vascular)
- Mission Family Clinic PLLC
- Mission Hospital Inc (Mission Regional Medical Center)
- Mission Hospital Inc (Mission Regional Outpatient Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.