Organization Active NPI

Mission Dentist PLLC

Doing business as Affordable Dentist of Mission

  • General Practice Dentistry
  • Mission, TX
National Provider Identifier
1871490763
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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

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.

Verify at the official NPI Registry.