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MYDENTAL AT MANOR PLLC NPI 1083473722


NPI Information

NPI: 1083473722
Provider Name: MYDENTAL AT MANOR PLLC

Doing Business As: MYDENTAL AT MANOR

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12836 HIGHWAY 290 E, SUITE 500
MANOR, TX
ZIP 78653
Phone: (512) 815-3663
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MYDENTAL AT MANOR PLLC is a general practice dentist in Manor, 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. MYDENTAL AT MANOR PLLC NPI is 1083473722. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mydental At Manor.

The provider's business location address is:

12836 HIGHWAY 290 E, SUITE 500
MANOR, TX
ZIP 78653
Phone: (512) 815-3663

The provider's authorized official is Jinal Patel .
The authorized official title is Owner and has the following contact phone number (512) 815-3663.

The enumeration date for this NPI number is 3/15/2024 and was last updated on 3/22/2024.


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
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0221XDentistPediatric DentistryNo
51223P0700XDentistProsthodonticsNo
61223S0112XDentistOral and Maxillofacial SurgeryNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.