MY TEETH DENTAL ORTHODONTICS PLLC
NPI 1053769356
Dentist - General Practice in Mesquite, TX

Active since May 26, 2016
2063 TOWN EAST MALL STE 1036, MESQUITE, TX 75150(716) 348-9855 Get Directions Write a Review

NPPES record last updated: April 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Teeth Dental Orthodontics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY TEETH DENTAL ORTHODONTICS PLLC (NPI 1053769356) is a healthcare organization registered as a general practice in Mesquite, Texas and active in the NPI registry since May 2016. The organization lists Omar Fetouh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053769356
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY TEETH DENTAL ORTHODONTICS PLLC
Location Address2063 TOWN EAST MALL STE 1036Mesquite, TX 75150-4118
Mailing Address2063 Town East Mall Ste 1036Mesquite, TX 75150-4118 · (716) 348-9855
Organization SubpartNo
Authorized OfficialOmar FetouhCeo · (716) 348-9855
Enumeration DateMay 26, 2016
Last NPPES UpdateApril 15, 2017
NPI 1053769356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 24314
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2063 TOWN EAST MALL STE 1036, Mesquite, TX 75150

Other Identifiers 1

Medicaid1891810263TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Teeth Dental Orthodontics PLLC's NPI number?

The NPI number for My Teeth Dental Orthodontics PLLC is 1053769356. It was assigned to this organization in the NPPES registry on May 26, 2016.

Where is My Teeth Dental Orthodontics PLLC located?

My Teeth Dental Orthodontics PLLC is located at 2063 Town East Mall Ste 1036, Mesquite, TX 75150. The listed phone number is (716) 348-9855.

What is My Teeth Dental Orthodontics PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does My Teeth Dental Orthodontics PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list My Teeth Dental Orthodontics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for My Teeth Dental Orthodontics PLLC was last updated on April 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.