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

Mydental at Manor PLLC

Organization Dentist · NPI 1083473722

Mydental at Manor PLLC is a Dentist in Manor, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
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

12836 Highway 290 E Ste 500
Manor, TX 78653
Phone: (512) 815-3663
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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
Dentist Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
Pediatric Dentistry Taxonomy 1223P0221X
Prosthodontics Taxonomy 1223P0700X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1083473722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jinal Patel — Owner · (512) 815-3663
Other names Mydental At Manor; Mydental At Manor
NPI enumeratedMarch 15, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 20, 2024
Mailing address12836 Us Highway 290 E Ste 500, Manor, TX 78653-5522

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