Dentistry Of Brownsville, PC
Dentist, General Practice in Weslaco, TX. Organization (NPI-2).
NPI number1598080095
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1598080095
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentistry Of Brownsville, PC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2010
- Last updated
- Sep 17, 2018
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223E0200X | Dentist, Endodontics | – | – | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – |
Other names
- Elstar Dental (Doing Business As)
- Kool Smiles (Doing Business As)
Practice location
1004 N Texas BlvdWeslaco, TX 78596-4511
Phone 800-920-9947
Mailing address
1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407
Phone 770-916-5028 · Fax 678-247-7858
Authorized official
Dale Gary Mayfield
President
7709165036
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 General Practice Dentistry providers in Weslaco · All 1,282 providers in Weslaco
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