DR. CARL MICHAEL MENTESANA DDS
NPI 1245645175
Dentist - Periodontics in Richardson, TX

Q: What is Carl Mentesana's NPI number?

The NPI number for Carl Mentesana is 1245645175. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Q: What is Carl Mentesana's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Carl Mentesana was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 30, 2014

291 RENNER PKWY STE 103, RICHARDSON, TX 75080(214) 738-6049 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Carl Michael Mentesana Dds NPPES

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

DR. CARL MICHAEL MENTESANA DDS (NPI 1245645175) is an individual periodontics provider in Richardson, Texas, licensed in Texas (30023) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1245645175

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. CARL MICHAEL MENTESANACredential: DDS

Location Address291 RENNER PKWY STE 103Richardson, TX 75080-1342

Mailing Address2403 Lacy LnCarrollton, TX 75006-6514 · (972) 869-3789

Phone(214) 738-6049

Sole ProprietorNo

Enumeration DateJune 30, 2014

Last NPPES UpdateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1245645175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in TX · 30023

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30023 (TX)

291 RENNER PKWY STE 103, Richardson, TX 75080

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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 Carl Mentesana's NPI number?

The NPI number for Carl Mentesana is 1245645175. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Carl Mentesana located?

Carl Mentesana practices at 291 Renner Pkwy Ste 103, Richardson, TX 75080. The listed phone number is (214) 738-6049.

What is Carl Mentesana's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Carl Mentesana was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.