MANGOLEAF DENTAL PLLC
NPI 1265198618
Dentist - General Practice in Lantana, TX

Active since November 10, 2021
3501 FM 407 E STE 200, LANTANA, TX 76226(940) 489-1660(972) 408-0736 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About MANGOLEAF DENTAL PLLC

This page provides the complete NPI Profile along with additional information for Mangoleaf Dental Pllc, a provider established in Lantana, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1265198618 assigned on November 2021. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeremy Freeman (Office Manager)

NPI
1265198618 Verify this NPI
Provider Name
MANGOLEAF DENTAL PLLC
Entity Type
Organization
Location Address
3501 FM 407 E STE 200 LANTANA, TX 76226
Location Phone
(940) 489-1660
Location Fax
(972) 408-0736
Mailing Address
3501 FM 407 E STE 200 LANTANA, TX 76226
Mailing Phone
(940) 489-1660
Mailing Fax
(972) 408-0736
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2021
Last Update Date
11-10-2021
Code Navigator

A dentist like Mangoleaf Dental Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY FREEMAN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(940) 228-2250

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
3501 FM 407 E STE 200
LANTANA, TX 76226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265198618, enumerated as an "organization" on November 10, 2021.

The provider is located at 3501 FM 407 E STE 200 LANTANA, TX 76226 and the phone number is (940) 489-1660.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.