Active NPI
Mesquite Dental Clinic PLLC
- General Practice Dentistry
- Mesquite, TX
National Provider Identifier
1609411800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MESQUITE DENTAL CLINIC PLLC
- Practice address
- 2411 N Galloway Ave Ste 128
Mesquite, TX 75150-7688 - Phone
- (972) 279-4411
- NPI assigned
- Nov 12, 2019
- 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
- Michael Hamilton, DDS
- Title
- Owner
- Phone
- (972) 279-4411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2411 N Galloway Ave Ste 128
Mesquite, TX 75150-7688
Mailing address
2411 N Galloway Ave Ste 128
Mesquite, TX 75150-7688
Phone (972) 279-4411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@mesquitedentalclinic.net |
National Provider Directory
National Provider DirectoryLocations
2411 N Galloway Ave
Ste 128
Mesquite, TX 75150
Phone (972) 279-4411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mesquite, TX
- NPI 1710102736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573516800000",
"number": "1609411800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 N GALLOWAY AVE STE 128",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751507688",
"telephone_number": "972-279-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 N GALLOWAY AVE STE 128",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751507688",
"telephone_number": "972-279-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESQUITE DENTAL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-279-4411",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@mesquitedentalclinic.net",
"affiliation": "N",
"address_1": "2411 N Galloway Ave Ste 128",
"city": "Mesquite",
"state": "TX",
"country_code": "US",
"postal_code": "751507688",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.