North Dallas Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22161 Issued in TX

Legal business name

NORTH DALLAS ORAL & MAXILLOFACIAL SURGERY

Practice address

915 W Exchange Pkwy
Suite 210
Allen, TX 75013-7017

Phone

(214) 383-3883

Fax

(214) 383-9043

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Afshin Rezvani, DDS, MDNPI 1952319568

Title

Owner

Phone

(214) 383-3883

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Afshin Rezvani, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Allen, TX
  • NPI 1952319568
  NPD (past) Authorized official

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1922333814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-383-3883",
            "fax_number": "214-383-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-383-3883",
            "fax_number": "214-383-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "REZVANI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-383-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Rose Bathurst Nord, MD
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• Nortex Psychiatry PLLC (NorTex Psychiatry TMS & Ketamine)
• North Dallas Physicians Group,PLLC
• North Dallas Plastic Surgery Associates
• North Dallas Sleep Disorder Center LLC
• North Star MRI LP (North Star Diagnostic Imaging)
• North Texas Child Psychiatry

• Oral and Maxillofacial Surgery (Dentist) in Allen, TX
• Providers in Allen, 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 Oct 9, 2009; 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.