Provider Demographics
NPI:1881495638
Name:MINDFUL PEDIATRIC DENTISTRY AND ORTHODONTICS OF MCKINNEY
Entity type:Organization
Organization Name:MINDFUL PEDIATRIC DENTISTRY AND ORTHODONTICS OF MCKINNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL-SALAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:503-999-2751
Mailing Address - Street 1:5008 EDGEWATER CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3860
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2510 N HARDIN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:503-999-2751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty