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Michelle S. Mendoza, DDS, PA

Dentist, General Practice in Frisco, TX. Organization (NPI-2).

NPI number1528299211
StatusActive
Last updated in NPPESJul 29, 2009

Details

NPI
1528299211
Entity type
Organization (NPI-2)
Legal business name
Michelle S. Mendoza, DDS, PA
Organization subpart
No
Enumeration date
Jul 29, 2009
Last updated
Jul 29, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0021754TXYes

Other names

  • Lake Pointe Dental, PA (Doing Business As)

Practice location

279 W Main St
Suite 110
Frisco, TX 75034-4306

Phone 469-633-9925 · Fax 469-633-9950

Mailing address

279 W Main St
Suite 110
Frisco, TX 75034-4306

Phone 469-633-9925 · Fax 469-633-9950

Authorized official

Michelle Mendoza
President
4696339925

Is something wrong?

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Other General Practice Dentistry providers in Frisco, TX

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