Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forney Mirror Lake Dentistry PLLC

Organization Dental Clinic/Center · NPI 1730676735

Forney Mirror Lake Dentistry PLLC is a Dental Clinic/Center in Forney, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 N Fm 548 Ste 150
Forney, TX 75126
Phone: (972) 200-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 29699 (TX)

Record details

NPI number1730676735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Humphries — Director Of Operations · (972) 200-1190
NPI enumeratedApril 16, 2018
Last updated in NPPESApril 16, 2018
Mailing address845 N. Fm 548, Suite 150, Forney, TX 75126

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