DR. MUSTAFA IQBAL (NPI# 1356870513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356870513 |
| Entity Type | Individual |
| Full Name | DR. MUSTAFA IQBAL |
| Credential | DDS |
| Practice Address |
1925 Park Lake Dr Waco TX 76708-1682 |
| Mailing Address |
12904 Gordons Hvn San Antonio TX 78253-6402 |
| Practice Telephone | 2542210999 |
| Mailing Telephone | 2102159663 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32936 | TX | Dental Providers |
| Street Address |
1925 PARK LAKE DR |
| City | WACO |
| State | TX |
| Zip Code | 76708-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275997082 | Access Dental of Park Lake Pa | Dentist | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2016-04-07 |
| 1225506777 | Nabeel Ishrat Khan | Dentist | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2018-11-02 |
| 1316412554 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686409 | Shyamali Saha | Dentist | 1428 Wooded Acres Dr Ste 126, Waco, TX 76710-4466 | 2020-07-08 |
| 1023521309 | Dental Health Associates of Texas, PC | Dentist | 715 N 64th St, Waco, TX 76710-4387 | 2017-11-09 |
| 1952837189 | Ace Dental06, PC | Dentist | 1428 Wooded Acres Dr, Waco, TX 76710-4500 | 2017-05-09 |
| 1780123356 | Scott Kennedy | Dentist | 609 Elm Avenue, Waco, TX 76704 | 2017-02-15 |
| 1760842587 | Affordable Dentist Near Me In Waco Pllc | Dentist | 4573 Lake Shore Dr, Waco, TX 76710-1814 | 2016-03-07 |
| 1295123982 | Robin Mcginnis | Dentist | 824 Hewitt Dr, Waco, TX 76712-6656 | 2015-01-02 |
| 1871932848 | Myrna Odeth Gamez | Dentist | 415 Owen Ln Apt 912, Waco, TX 76710-8915 | 2013-06-22 |
| 1679817241 | Devin Theodore Gneiting | Dentist | 7124 Woodway Dr, Waco, TX 76712-6102 | 2012-11-20 |
| 1528389434 | Heart of Texas Community Health Center, Inc | Dentist | 225 W Waco Dr, Waco, TX 76707-3836 | 2010-06-15 |
| 1265654339 | Everett B Watson Jr. | Dentist | 8104 Woodway Dr., Waco, TX 76712-3804 | 2007-05-02 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.