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NORTH MESA DENTAL PC NPI 1174822118


NPI Information

NPI: 1174822118
Provider Name: NORTH MESA DENTAL, PC

Doing Business As: TOPAZ DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1601 WALTON DR
WACO, TX
ZIP 76705
Phone: (678) 904-5665
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NORTH MESA DENTAL, PC is a general practice dentist in Waco, 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. NORTH MESA DENTAL, PC NPI is 1174822118. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Topaz Dentistry.

The provider's business location address is:

1601 WALTON DR
WACO, TX
ZIP 76705-468
Phone: (678) 904-5665
Fax: (678) 904-5666

The provider's authorized official is Dale Mayfield .
The authorized official title is President and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 3/16/2011 and was last updated on 6/17/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223G0001XDentistGeneral 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: 4/28/2024

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