P Praxis·MD
● Active Type 2 · Organization

Forney Mirror Lake Dentistry Pllc

Clinic/Center·Forney, TX· NPI 1730676735 · Enumerated 2018 · 8 years on NPI
Forney Mirror Lake Dentistry Pllc is 1 of 1762 clinic/center organizations in Texas.
NPI age
8 years
Enumerated 2018-04-16
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Humphries
Director Of Operations
Last NPPES update
2018-04-16
Source: monthly bulk 2026-05

How this organization compares

Across 1762 active clinic/center providers in Texas.

NPI age
8 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
845 N. Fm 548, Suite 150
Forney, TX 75126
📞 9722001190
Mailing address
845 N. Fm 548, Suite 150
Forney, TX 75126
📞 9722001190

Authorized official

Justin Humphries
Director Of Operations
📞 9722001190

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #29699 taxonomy 261QD0000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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