MIDLAND MALL FDC PA
NPI 1366600504
Dentist in Midland, TX

Q: What is Midland Mall Fdc PA's NPI number?

The NPI number for Midland Mall Fdc PA is 1366600504. It was assigned to this organization in the NPPES registry on May 23, 2008.

Q: What is Midland Mall Fdc PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 23, 2008

4511 N MIDKIFF RD, STE E15, MIDLAND, TX 79705(432) 520-4867(432) 694-7927 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Midland Mall Fdc Pa NPPES

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

MIDLAND MALL FDC PA (NPI 1366600504) is a healthcare organization registered as a dentist in Midland, Texas and active in the NPI registry since May 2008. The organization lists Lynn Armstrong, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1366600504

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMIDLAND MALL FDC PA

Location Address4511 N MIDKIFF RD, STE E15Midland, TX 79705-3242

Mailing Address4511 N Midkiff Rd, Ste E15Midland, TX 79705-3242 · (432) 520-4867 · Fax (432) 694-7927

Phone(432) 520-4867

Fax(432) 694-7927

Organization SubpartNo

Authorized OfficialLynn ArmstrongRegional Manager · (505) 328-4867

Enumeration DateMay 23, 2008

✔ NPI 1366600504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 0008481

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4511 N MIDKIFF RD, Midland, TX 79705

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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL CRAIG TOLER DDS

Dentist (General Practice)

4511 N MIDKIFF RD, SUITE E-15
MIDLAND, TX 79705

Midland County (432) 520-4867

VISIONWORKS, INC.

Eyewear Supplier

4511 N MIDKIFF RD
MIDLAND, TX 79705

Midland County (432) 694-2244

LUXOTTICA RETAIL NORTH AMERICA INC

Eyewear Supplier

4511 N MIDKIFF RD, MIDLAND PARK MALL
MIDLAND, TX 79705

Midland County (432) 699-8556

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 Midland Mall Fdc PA's NPI number?

The NPI number for Midland Mall Fdc PA is 1366600504. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Midland Mall Fdc PA located?

Midland Mall Fdc PA is located at 4511 N Midkiff Rd Ste E15, Midland, TX 79705. The listed phone number is (432) 520-4867.

What is Midland Mall Fdc PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Midland Mall Fdc PA was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.