Mista Dental PLLC
Organization Active NPI General Practice Dentistry · Selma, TX
NPI 1558070953 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1558070953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- MISTA DENTAL PLLC
- Practice address
- 8143 Agora Pkwy Ste 105
Selma, TX 78154-1357 - Phone
- (210) 659-6622
- NPI assigned
- Nov 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Mangayarkarasi Mathiyazhagan
- Title
- Owner
- Phone
- (210) 659-6622
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
8143 Agora Pkwy Ste 105
Selma, TX 78154-1357
Mailing address
PO Box 70887
Cleveland, OH 44190-0887
Other providers in Selma, TX
- Jenaye Liann Madigan
- Jocelyn Martinez
- Bryan J McAdams
- Sarah Meador
- Gregory James Miller
- Kenneth Grant Mittelstadt
- Hiram Mojica
- Priyanka Suzanne Mooney
- Ofelia Sylvia Moorman
- Masey Morales
All providers in Selma, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.