Rosa M Mora, D.D.S.
Individual provider Active NPI General Practice Dentistry · Alton, TX
NPI 1700965258 · NPPES record last updated Nov 1, 2013
Key facts
- NPI
- 1700965258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 20419 (TX)
- Practice address
- 921 E Main Avenue Suite #2
Alton, TX 78573 - Phone
- (956) 583-5050
- Fax
- (956) 583-5067
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20419 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HJC Home Health Care Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20419 | TX | |
| General Practice Dentistry | 1223G0001X | 20419 | TX | Yes |
Addresses
Primary practice location
921 E Main Avenue Suite #2
Alton, TX 78573
Mailing address
921 E Main Avenue Suite #2
Alton, TX 78573
Phone (956) 583-5050
Other providers in Alton, TX
- Melissa Isabel Medina
- Heidi Janette Mendez
- Mi Hermoso Valle Adult Day Care, L.L.C.
- Anna L Mills
- Frank A Mora
- Elizabeth Morales
- Nuestra Clinica del Valle Inc
- Kristal Ochoa
- Tanya Ortiz
- Vanessa C Ovalle
All providers in Alton, 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 Nov 1, 2013. 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.