Individual provider · Type 1 NPI
Mira Lavallee
General Practice Dentistry · College Station, TX
NPI number
1346941887
Active
Practice location
4400 State Highway 6 S Ste 300
College Station, TX 77845-4500
Mailing address
4400 Texas 6 Frontage Rd Ste 300
College Station, TX 77845
Other practice locations
- 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 · (210) 567-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 41670 (TX) |
General Practice Dentistry: 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.
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About NPI 1346941887
Mira Lavallee's National Provider Identifier is 1346941887, issued on Mar 13, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in College Station, TX. The record was last updated on Feb 6, 2026.