MYSA DENTAL PLLC NPI 1710587431

NPI Information

  • NPI: 1710587431
  • Provider Name: MYSA DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: MYSA DENTAL
  • Address: 13762 POTRANCO RD STE 105
    SAN ANTONIO, TX
    ZIP 78253
  • Phone: (210) 564-9044

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NPI Details

MYSA DENTAL PLLC is a dental clinic center in San Antonio, TX. MYSA DENTAL PLLC NPI is 1710587431. The provider is registered as an organization entity type.
The provider Is Doing Business As Mysa Dental.

The provider's business location address is:

13762 POTRANCO RD STE 105
SAN ANTONIO, TX
ZIP 78253-047
Phone: (210) 564-9044
Fax: (210) 564-9088

The provider's authorized official is Khushbu Malhotra .
The authorized official title is Dentist and has the following contact phone number (617) 834-4646.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 5/15/2023.

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
1261QD0000XClinic/CenterDentalYes

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

NPI Synchronization or Removal

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