Dental Group of Mesquite, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0025358 Issued in TX

Legal business name

DENTAL GROUP OF MESQUITE, PLLC

Practice address

2690 N. Galloway Ave.
Mesquite, TX 75150-4857

Phone

(972) 279-1200

Fax

(972) 279-1203

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Troy Naef

Title

Cfo

Phone

(214) 215-7325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1770804577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 N. GALLOWAY AVE.",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504857",
            "telephone_number": "972-279-1200",
            "fax_number": "972-279-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 N. GALLOWAY AVE.",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504857",
            "telephone_number": "972-279-1200",
            "fax_number": "972-279-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF MESQUITE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "NAEF",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-215-7325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Deluna
• Joseph Demarte
• Dennis R. Askins
• Dental ASC, LLC
• Dental Expressions, P.C.
• Dental Zania - Mesquite PLLC
• Dentamici PLLC
• Dentist in Mesquite LLC
• Monique Catherine Derizzio, PT, DPT
• Jessica Derx

• General Practice Dentistry in Mesquite, TX
• Providers in Mesquite, 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 Dec 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.

Verify at the official NPI Registry.