Mansfield Oral and Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

L9710 Issued in TX

Legal business name

MANSFIELD ORAL AND FACIAL SURGERY

Practice address

1705 Fountainview Dr #103
Mansfield, TX 76063

Phone

(817) 453-4404

Fax

(817) 453-4416

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Miss Lindsay Allison Joyce

Title

Front Office

Phone

(817) 453-4404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Gregory, M.D., D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Mesquite, TX
  • NPI 1619919545
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1972771053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FOUNTAINVIEW DR #103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-453-4404",
            "fax_number": "817-453-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FOUNTAINVIEW DR #103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-453-4404",
            "fax_number": "817-453-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "817-453-4404",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "L9710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176821001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansfield Long Term Care LLC
• Mansfield Medical Clinic
• Mansfield Neurology Associates PLLC
• Mansfield Nursing and Rehabilitation LP
• Mansfield OBGYN Association
• Mansfield Pain Services, LLC
• Mansfield Pediatrics
• Mansfield Physician Staffing, PLLC
• Mansfield Smiles and Orthodontics, PC
• Mansfield SNF LLC

• Oral and Maxillofacial Surgery (Dentist) in Mansfield, TX
• Providers in Mansfield, 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 Feb 12, 2008; 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.