MIDLAND PARK MALL DENTAL PRACTICE, P.C.
NPI 1467757112
Dentist - General Practice in Midland, TX

Q: What is Midland Park 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

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

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Midland Park Mall Dental Practice, P.c. NPPES

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

MIDLAND PARK MALL DENTAL PRACTICE, P.C. (NPI 1467757112) is a healthcare organization registered as a general practice in Midland, Texas and active in the NPI registry since January 2011. The organization lists Jennifer Owens, Manager, as its authorized official.

NPPES Registry Identity

NPI1467757112

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMIDLAND PARK MALL DENTAL PRACTICE, P.C.

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 OfficialJennifer OwensManager · (432) 520-4867

Enumeration DateJanuary 11, 2011

✔ NPI 1467757112 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.

4511 N MIDKIFF RD STE E15, 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

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

The NPI number for Midland Park Mall Dental Practice, P.C. is 1467757112. It was assigned to this organization in the NPPES registry on January 11, 2011.

Where is Midland Park Mall Dental Practice, P.C. located?

Midland Park Mall Dental Practice, P.C. is located at 4511 N Midkiff Rd Ste E15, Midland, TX 79705. The listed phone number is (432) 520-4867.

What is Midland Park 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 Midland Park 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.