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LAVENDER DENTAL
NPI 1487080404
Dentist in Grand Prairie, TX

Active since September 23, 2013
5103 MAGNA CARTA BLVD, SUITE 100, GRAND PRAIRIE, TX 75052(972) 352-6677(972) 352-6678 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lavender Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVENDER DENTAL (NPI 1487080404) is a healthcare organization registered as a dentist in Grand Prairie, Texas and active in the NPI registry since September 2013. The organization lists Shaneka Marks Moss, Owner, as its authorized official.

NPPES Registry Identity

NPI1487080404
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHANEKA MARKS MOSS DDS PC
Location Address5103 MAGNA CARTA BLVD, SUITE 100Grand Prairie, TX 75052-5213
Mailing Address5103 Magna Carta Blvd, Suite 100Grand Prairie, TX 75052-5213 · (972) 352-6677 · Fax (972) 352-6678
Phone(972) 352-6677
Fax(972) 352-6678
Organization SubpartNo
Authorized OfficialShaneka Marks MossOwner · (972) 352-6677
Enumeration DateSeptember 23, 2013
✔ NPI 1487080404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 25693
Definition
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.
5103 MAGNA CARTA BLVD, Grand Prairie, TX 75052
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Other Names 1

Doing Business AsLavender Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANEKA S MARKS MOSS D.D.S
Dentist
5103 MAGNA CARTA BLVD, SUITE 100
GRAND PRAIRIE, TX 75052
Dallas County (972) 352-6677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaneka Marks Moss Dds PC's NPI number?

The NPI number for Shaneka Marks Moss Dds PC is 1487080404. It was assigned to this organization in the NPPES registry on September 23, 2013. The provider is doing business as Lavender Dental.

Where is Shaneka Marks Moss Dds PC located?

Shaneka Marks Moss Dds PC is located at 5103 Magna Carta Blvd Suite 100, Grand Prairie, TX 75052. The listed phone number is (972) 352-6677.

What is Shaneka Marks Moss Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shaneka Marks Moss Dds PC was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.