NORTH MESA DENTAL, PC (NPI# 1760734917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760734917 |
| Entity Type | Organization |
| Organization Name | NORTH MESA DENTAL, PC |
| Other Organization Name | TOPAZ DENTISTRY |
| Practice Address |
2200 S W S Young Dr Killeen TX 76543-5318 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7709169000 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | DALE GARY MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| KOOL SMILES | Doing Business As Name - Organization |
| Topaz Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437458874 | North Mesa Dental, PC | Dentist | 3864 Hwy 64 West, Tyler, TX 75704 | 2011-03-24 |
| 1376842096 | North Mesa Dental, PC | Dentist | 3840 Aldine Mail Rd, Houston, TX 77039-4644 | 2011-03-21 |
| 1174822118 | North Mesa Dental, PC | Dentist | 1601 Walton Dr, Waco, TX 76705-2468 | 2011-03-16 |
| 1003122177 | North Mesa Dental, PC | Dentist | 4403 Sherwood Way, San Angelo, TX 76901-5616 | 2010-08-26 |
| 1245560689 | North Mesa Dental, PC | Dentist | 710 Estes Dr Ste 105, Longview, TX 75602-6120 | 2010-01-07 |
| 1760712335 | North Mesa Dental, PC | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2010-01-05 |
| 1003142597 | North Mesa Dental, PC | Dentist | 6910 N Mesa St Ste C, El Paso, TX 79912-4446 | 2009-10-19 |
| 1568618759 | North Mesa Dental, PC | Dentist | 1613 N West County Rd, Suite C, Odessa, TX 79763-2917 | 2008-08-07 |
| 1730335928 | North Mesa Dental, PC | Dentist | 3063 S. John Redditt Drive, Lufkin, TX 75904 | 2008-08-07 |
| 1659548774 | North Mesa Dental, PC | Dentist | 5130 Fairbanks Dr, El Paso, TX 79924-3813 | 2008-05-08 |
| Street Address |
2200 S W S YOUNG DR |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646026 | Highway 351 PC | Dentist | 2200 S W S Young Dr, Killeen, TX 76543-5318 | 2011-10-17 |
| 1891357315 | Evangelos Akli | Dentist | 2200 S W S Young Dr, Killeen, TX 76543-5318 | 2019-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338998 | Kristen Drinkwater | Dentist | 3202 S W S Young Dr Ste 101, Killeen, TX 76542-6538 | 2020-05-26 |
| 1871126284 | Lowes Boulevard Family Dentistry, Pllc | Dentist | 1200 Lowes Blvd Ste 112, Killeen, TX 76542-5204 | 2020-02-14 |
| 1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1306332325 | Nathaniel Phen | Dentist | 2202 S W S Young Dr Ste 102, Killeen, TX 76543-5318 | 2018-07-02 |
| 1396238614 | Lakshmi Chandana Alapati | Dentist | 3650 W Stan Schlueter Loop Ste 160, Killeen, TX 76549-6814 | 2018-06-11 |
| 1396246856 | John Matthew Franzen | Dentist | 3106 S W S Young Dr Ste C-304, Killeen, TX 76542-2000 | 2018-02-21 |
| 1740730308 | Ellen Schriner | Dentist | 2501 Bacon Ranch Rd Apt 910, Killeen, TX 76542-2908 | 2016-10-07 |
| 1215391057 | Cen-tex Family Dental Pllc | Dentist | 3000 Old Fm 440 Rd Ste 106, Killeen, TX 76549-1603 | 2016-04-07 |
| 1447631163 | Nehalben Patel | Dentist | 2710 S Clear Creek Rd, Suite #118, Killeen, TX 76549 | 2015-06-18 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.