Bayside Dental Mesquite

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

BAYSIDE DENTAL MESQUITE

Practice address

2758 N Galloway Ave Ste 200
Mesquite, TX 75150-6381

Phone

(972) 270-5113

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Ashley Flores

Title

Office Manager

Phone

(972) 840-2020

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1992350136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 N GALLOWAY AVE STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506381",
            "telephone_number": "972-270-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 N GALLOWAY AVE STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506381",
            "telephone_number": "972-270-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DENTAL MESQUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-840-2020"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@baysidedentalrowlett.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2758 N Galloway Ave Ste 200",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751506381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Salome Mboh Basebang
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• Benjamin H Beal, M.S., P.T.
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• Nancy Becerra
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• Public Health Dentistry in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.