Mangoleaf Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANGOLEAF DENTAL PLLC

Practice address

3501 FM 407 E Ste 200
Lantana, TX 76226-9769

Phone

(940) 489-1660

Fax

(972) 408-0736

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Jeremy Freeman

Title

Office Manager

Phone

(940) 228-2250

Specialties & licenses 1

Addresses

Other names 1

• Kissable Dental Doing business as

Locations

Practitioners 2

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

• Salma Haneef, DDS

  • General Practice Dentistry
  • Lantana, TX
  • NPI 1790398345
  NPD
• Mehraz Jamal Uddin, DMD

  • General Practice Dentistry
  • Houston, TX
  • NPI 1457965980
  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1265198618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FM 407 E STE 200",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762269769",
            "telephone_number": "940-489-1660",
            "fax_number": "972-408-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FM 407 E STE 200",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762269769",
            "telephone_number": "940-489-1660",
            "fax_number": "972-408-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGOLEAF DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-228-2250"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kissable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynette Jones
• Patricia Kane, LPC
• KD Accurate Health Care Proffessional Inc
• Abigail Kim, PHARMD
• Ronda Kimball, LPC
• Maggie Marie McGhee
• Allison McIntosh
• Ally McNiel, LPC
• Med Southwest, PLLC
• Mental Wealth of NM, LLC

• General Practice Dentistry in Lantana, TX
• Providers in Lantana, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.