MUSIC CITY MALL DENTAL PRACTICE, P.C.
NPI 1265737910
Dentist - General Practice in Odessa, TX

Q: What is Music City Mall Dental Practice, P.C.'s specialty?

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

Active since January 11, 2011

4101 E 42ND ST # B-23, ODESSA, TX 79762(432) 363-4867(432) 363-1799 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Music City Mall Dental Practice, P.c. NPPES

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

MUSIC CITY MALL DENTAL PRACTICE, P.C. (NPI 1265737910) is a healthcare organization registered as a general practice in Odessa, Texas and active in the NPI registry since January 2011. The organization lists Jennifer Owens, Manager, as its authorized official.

NPPES Registry Identity

NPI1265737910

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMUSIC CITY MALL DENTAL PRACTICE, P.C.

Location Address4101 E 42ND ST # B-23Odessa, TX 79762-7239

Mailing Address4101 E 42nd St # B-23Odessa, TX 79762-7239 · (432) 363-4867 · Fax (432) 363-1799

Phone(432) 363-4867

Fax(432) 363-1799

Organization SubpartNo

Authorized OfficialJennifer OwensManager · (432) 520-4867

Enumeration DateJanuary 11, 2011

✔ NPI 1265737910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4101 E 42ND ST # B-23, Odessa, TX 79762

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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

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 Music City Mall Dental Practice, P.C.'s NPI number?

The NPI number for Music City Mall Dental Practice, P.C. is 1265737910. It was assigned to this organization in the NPPES registry on January 11, 2011.

Where is Music City Mall Dental Practice, P.C. located?

Music City Mall Dental Practice, P.C. is located at 4101 E 42nd St # B-23, Odessa, TX 79762. The listed phone number is (432) 363-4867.

What is Music City Mall Dental Practice, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Music City Mall Dental Practice, P.C. was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.