Individual provider · Type 1 NPI
Carl Michael Mentesana, DDS
Periodontics · Richardson, TX
NPI number
1245645175
Active
Practice location
291 Renner Pkwy Ste 103
Richardson, TX 75080-1342
Mailing address
2403 Lacy Ln
Carrollton, TX 75006-6514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 30023 (TX) |
| Periodontics Primary | 1223P0300X | 30023 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1245645175
Carl Michael Mentesana, DDS's National Provider Identifier is 1245645175, issued on Jun 30, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Richardson, TX. The record was last updated on Oct 23, 2020.