Provider Demographics
NPI:1770653560
Name:MCALLEN DENTISTRY CENTER, PA
Entity Type:Organization
Organization Name:MCALLEN DENTISTRY CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:H
Authorized Official - Last Name:TYMINSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-994-3434
Mailing Address - Street 1:PO BOX 720194
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0194
Mailing Address - Country:US
Mailing Address - Phone:956-994-3434
Mailing Address - Fax:956-994-3436
Practice Address - Street 1:3321 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3309
Practice Address - Country:US
Practice Address - Phone:956-994-3434
Practice Address - Fax:956-994-3436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty