Provider Demographics
NPI:1215808118
Name:MY DEAR DENTIST PLLC
Entity type:Organization
Organization Name:MY DEAR DENTIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-653-1818
Mailing Address - Street 1:1540 W ALABAMA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4253
Mailing Address - Country:US
Mailing Address - Phone:281-653-1818
Mailing Address - Fax:
Practice Address - Street 1:1540 W ALABAMA ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4253
Practice Address - Country:US
Practice Address - Phone:281-653-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental