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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MOUNTAIN SMILES - BENBROOK PLLC
NPI 1821994070
Dentist in Benbrook, TX

Active since October 15, 2026
9017 VISTA WAY, BENBROOK, TX 76126(817) 900-6030 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mountain Smiles - Benbrook Pllc NPPES

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

MOUNTAIN SMILES - BENBROOK PLLC (NPI 1821994070) is a healthcare organization registered as a dentist in Benbrook, Texas and active in the NPI registry since October 2026. The organization lists Angel Gimenez, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1821994070
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMOUNTAIN SMILES - BENBROOK PLLC
Location Address9017 VISTA WAYBenbrook, TX 76126-2450
Mailing Address9017 Vista WayBenbrook, TX 76126-2450 · (817) 900-6030
Phone(817) 900-6030
Organization SubpartNo
Authorized OfficialAngel GimenezCredentialing Manager · (719) 300-5933
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1821994070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
9017 VISTA WAY, Benbrook, TX 76126
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Other Providers at the Same Location NPPES

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

KATHY HUA DDS
Dentist (General Practice)
9017 VISTA WAY
BENBROOK, TX 76126
Tarrant County (817) 900-6030

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 Mountain Smiles - Benbrook PLLC's NPI number?

The NPI number for Mountain Smiles - Benbrook PLLC is 1821994070. It was assigned to this organization in the NPPES registry on October 15, 2026.

Where is Mountain Smiles - Benbrook PLLC located?

Mountain Smiles - Benbrook PLLC is located at 9017 Vista Way, Benbrook, TX 76126. The listed phone number is (817) 900-6030.

What is Mountain Smiles - Benbrook PLLC'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 Mountain Smiles - Benbrook PLLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.