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

Odessa Mall Fdc PA

Organization Dentist · NPI 1801054044

Odessa Mall Fdc PA is a Dentist in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4101 E 42nd Ste B23
Odessa, TX 79762-7239
Phone: (432) 363-4867
Fax: (432) 363-1799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0008481 (TX)

Record details

NPI number1801054044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Armstrong — Regional Manager · (505) 328-4867
NPI enumeratedMay 23, 2008
Last updated in NPPESMay 23, 2008
Mailing address4101 E 42nd, Ste B23, Odessa, TX 79762-7239

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