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

Midland Park Mall Dental Practice, PC

Organization General Practice Dentistry · NPI 1467757112

Midland Park Mall Dental Practice, PC is a General Practice Dentistry in Midland, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4511 N Midkiff Rd Ste E15
Midland, TX 79705-3242
Phone: (432) 520-4867
Fax: (432) 694-7927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1467757112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Owens — Manager · (432) 520-4867
NPI enumeratedJanuary 11, 2011
Last updated in NPPESJanuary 11, 2011
Mailing address4511 N Midkiff Rd Ste E15, Midland, TX 79705-3242

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