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Active NPI 1093948044 Organization (Entity Type 2)

Mgmdds

Dentist • Webster, TX

About Mgmdds NPI 1093948044 Summary

Mgmdds is a verified healthcare organization specializing in Dentist operating in Webster, TX. Located at 13810 JOHN AUDUBON PKWY STE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1093948044.

Administrative operations and authorized compliance are overseen by Michael Moore (Owner/Dentist).

Facility Location & Contact Primary Location

Facility Address

13810 John Audubon Pkwy Ste A

Webster, TX 775983862

Telephone 2814869222
Fax 2814868700

Authorized Official Information

Authorized Contact Name

Michael Moore , D.D.S.

Title / Role

Owner/dentist

Official Telephone

2814869222

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 25, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2009

Registered at 13810 JOHN AUDUBON PKWY STE A, WEBSTER, TX 775983862 (Tel: 2814869222)

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Updated Business Mailing Address August 25, 2009

Registered at 13810 JOHN AUDUBON PKWY STE A, WEBSTER, TX 775983862 (Tel: 2814869222)

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Organization / Clinic Name Updated August 25, 2009

Operating as MGMDDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2009

Dentist (License #17826 in TX)

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Initial NPI Registration & Enumeration August 25, 2009

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1093948044
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 25, 2009
Last Update: August 25, 2009

Mailing Address

13810 John Audubon Pkwy Ste A

Webster, TX 775983862

Phone: 2814869222

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.