Active NPI
Mountain Smiles - DSS PLLC
- Endodontics
- Saginaw, TX
National Provider Identifier
1205731320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- MOUNTAIN SMILES - DSS PLLC
- Practice address
- 713 W Bailey Boswell Rd
Saginaw, TX 76179-1031 - Phone
- (817) 847-4040
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel Gimenez
- Title
- Credentialing Manager
- Phone
- (719) 300-5933
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary | ||
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X |
Addresses
Primary practice location
713 W Bailey Boswell Rd
Saginaw, TX 76179-1031
Mailing address
713 W Bailey Boswell Rd
Saginaw, TX 76179-1031
Phone (817) 847-4040
National Provider Directory
National Provider DirectoryLocations
713 W Bailey Boswell Rd
Saginaw, TX 76179
Phone (817) 847-4040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endodontics
- Saginaw, TX
- NPI 1639896244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1205731320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W BAILEY BOSWELL RD",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761791031",
"telephone_number": "817-847-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W BAILEY BOSWELL RD",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761791031",
"telephone_number": "817-847-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN SMILES - DSS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "GIMENEZ",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "719-300-5933"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.