NPI 1740989094 · live from the CMS NPI Registry
3220 Gus Thomasson Rd. Dental
Dentist, General Practice in Mesquite, TX. National Provider Identifier 1740989094, active.
NPI record
| NPI | 1740989094 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3220 Gus Thomasson Rd Ste 347, Mesquite, TX 75150 |
| Practice phone | 972-698-6685 |
| Mailing address | 4801 S Buckner Blvd Ste 800, Dallas, TX 75227 |
| Enumerated | February 27, 2023 |
| Last updated | February 27, 2023 |
| Authorized official | Maria Estrada, Billing/Credentialing Manager |
| Other names | Align Dental Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.