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MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC NPI 1366512030


NPI Information

NPI: 1366512030
Provider Name: MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC

Doing Business As: MONARCH DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2818 N COUNTY RD W
ODESSA, TX
ZIP 79764
Phone: (714) 428-1300
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MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC is a general practice dentist in Odessa, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC NPI is 1366512030. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Monarch Dental.

The provider's business location address is:

2818 N COUNTY RD W
ODESSA, TX
ZIP 79764-666
Phone: (714) 428-1300
Fax: (714) 428-1390

The provider's authorized official is Roy D. Smith .
The authorized official title is Owner and has the following contact phone number (714) 428-1300.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 12/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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