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HEARTLAND MIRROR LAKE DENTISTRY PLLC
NPI 1558858704
Clinic/Center - Dental in Heartland, TX

Active since April 13, 2018
2049 SUNNYBROOK DR, HEARTLAND, TX 75126(972) 200-4311 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heartland Mirror Lake Dentistry Pllc NPPES

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

HEARTLAND MIRROR LAKE DENTISTRY PLLC (NPI 1558858704) is a healthcare organization registered as a dental in Heartland, Texas and active in the NPI registry since April 2018. The organization lists Justin Humphries, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1558858704
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHEARTLAND MIRROR LAKE DENTISTRY PLLC
Location Address2049 SUNNYBROOK DRHeartland, TX 75126-1270
Mailing Address2049 Sunnybrook DrHeartland, TX 75126-1270 · (972) 200-4311
Phone(972) 200-4311
Organization SubpartNo
Authorized OfficialJustin HumphriesDirector Of Operations · (972) 200-4311
Enumeration DateApril 13, 2018
✔ NPI 1558858704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 29699
2049 SUNNYBROOK DR, Heartland, TX 75126
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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 Heartland Mirror Lake Dentistry PLLC's NPI number?

The NPI number for Heartland Mirror Lake Dentistry PLLC is 1558858704. It was assigned to this organization in the NPPES registry on April 13, 2018.

Where is Heartland Mirror Lake Dentistry PLLC located?

Heartland Mirror Lake Dentistry PLLC is located at 2049 Sunnybrook Dr, Heartland, TX 75126. The listed phone number is (972) 200-4311.

What is Heartland Mirror Lake Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Heartland Mirror Lake Dentistry PLLC was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.