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MYDENTAL AT MANOR
NPI 1083473722
Dentist - General Practice in Manor, TX

Active since March 15, 2024
12836 HIGHWAY 290 E, SUITE 500, MANOR, TX 78653(512) 815-3663 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mydental At Manor NPPES

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

MYDENTAL AT MANOR (NPI 1083473722) is a healthcare organization registered as a general practice in Manor, Texas and active in the NPI registry since March 2024. The organization lists Jinal Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1083473722
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMYDENTAL AT MANOR PLLC
Location Address12836 HIGHWAY 290 E, SUITE 500Manor, TX 78653
Mailing Address12836 Us Highway 290 E Ste 500Manor, TX 78653-5522 · (512) 815-3663
Phone(512) 815-3663
Organization SubpartNo
Authorized OfficialJinal PatelOwner · (512) 815-3663
Enumeration DateMarch 15, 2024
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1083473722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
12836 HIGHWAY 290 E, SUITE 500, Manor, TX 78653
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Other Names 1

Doing Business AsMydental At Manor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Mydental At Manor PLLC's NPI number?

The NPI number for Mydental At Manor PLLC is 1083473722. It was assigned to this organization in the NPPES registry on March 15, 2024. The provider is doing business as Mydental At Manor.

Where is Mydental At Manor PLLC located?

Mydental At Manor PLLC is located at 12836 Highway 290 E, Suite 500, Manor, TX 78653. The listed phone number is (512) 815-3663.

What is Mydental At Manor PLLC's specialty?

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

What insurance does Mydental At Manor PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Mydental At Manor 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 Mydental At Manor PLLC was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.