MFB Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MFB DENTAL PLLC

Practice address

8355 Walnut Hill LN Ste 130
Dallas, TX 75231-4240

Phone

(214) 361-2208

NPI assigned

Dec 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mitra Bolouri, DDSNPI 1710242193

Title

Sole Member

Phone

(214) 533-2689

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walnut Hill Dental Associates Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitra Fatima Bolouri, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1710242193
  NPD Authorized official
• Damon Wayne Spencer, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1093949679
  NPD (past)
• Robert Daniel Woodward Jr., D.D.S.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1043233489
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1114743523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314240",
            "telephone_number": "214-361-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314240",
            "telephone_number": "214-361-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFB DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "BOLOURI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "214-533-2689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710242193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Hill Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Tijerina Meza, AGACNP-BC
• Clarissa Andrea Meza
• Kimberly Kay Mezera, MD
• Mariia Mezhenska
• MF Medical PLLC
• MFM Fact, PLLC
• MG Associates PA
• Mga Medical Equipment, Inc.
• Onyinyechi Mgbah, RN
• Lisa Mhloyi

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.