SOFISTICA DENTAL PLLC NPI 1629435763

NPI Information

  • NPI: 1629435763
  • Provider Name: SOFISTICA DENTAL PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: LIFETIME DENTAL CENTER
  • Address: 1309 E NOLANA AVE
    SUITE C
    MCALLEN, TX
    ZIP 78504
  • Phone: (956) 800-1860

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NPI Details

SOFISTICA DENTAL PLLC is a general practice dentist in Mcallen, 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. SOFISTICA DENTAL PLLC NPI is 1629435763. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifetime Dental Center.

The provider's business location address is:

1309 E NOLANA AVE
SUITE C
MCALLEN, TX
ZIP 78504-189
Phone: (956) 800-1860

The provider's authorized official is Niknam Bagheri .
The authorized official title is General Dentist and has the following contact phone number (530) 848-0283.

The enumeration date for this NPI number is 1/20/2016 and was last updated on 1/20/2016.

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 Practice27367TEXASYes

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: 11/21/2025

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