Provider Demographics
NPI:1225663628
Name:MISHKA DENTAL PLLC
Entity Type:Organization
Organization Name:MISHKA DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRASHANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-886-2644
Mailing Address - Street 1:605 PUERTA VALLARTA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-4068
Mailing Address - Country:US
Mailing Address - Phone:216-240-0329
Mailing Address - Fax:
Practice Address - Street 1:531 ED SCHMIDT BLVD SUITE # 100
Practice Address - Street 2:SUITE # 100
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634
Practice Address - Country:US
Practice Address - Phone:512-886-2644
Practice Address - Fax:512-886-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental