Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shaneka Marks Moss DDS PC

Organization Dentist · NPI 1487080404

Shaneka Marks Moss DDS PC provides Dentist services in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5103 Magna Carta Blvd Ste 100
Grand Prairie, TX 75052-5213 Not confirmed with CMS for 13 years — call before visiting
Phone: (972) 352-6677
Fax: (972) 352-6678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 25693 (TX)

Record details

NPI number1487080404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaneka Marks Moss — Owner · (972) 352-6677
Other names Lavender Dental
NPI enumeratedSeptember 23, 2013
Last updated in NPPESSeptember 23, 2013
Mailing address5103 Magna Carta Blvd, Suite 100, Grand Prairie, TX 75052-5213

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