Mecca Dental Pllc is a medicare enrolled dental clinic (Dentist - General Practice) in Friso, Texas. The current practice location for Mecca Dental Pllc is 12955 Main Street, Suite #100, Friso, Texas. For appointments, you can reach them via phone at
(469) 920-8858. The mailing address for Mecca Dental Pllc is 4840 Rabbit Trl, Plano, Texas and phone number is (210) 725-4657.
Mecca Dental Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1457034241. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(469) 920-8858.
Dental Care Clinic Profile
| Full Name | Mecca Dental Pllc |
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| Speciality | Dentist |
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| Location | 12955 Main Street, Friso, Texas |
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| Authorized Official Name and Position | Sulmaan Ahmed Farooqui (MANAGER) |
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| Authorized Official Contact | 2107254657 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mecca Dental Pllc
4840 Rabbit Trl
Plano
TX 75074-8333
Ph: (210) 725-4657 | Mecca Dental Pllc
12955 Main Street
Suite #100
Friso
TX 75035
Ph: (469) 920-8858 |
NPI Details:
| NPI Number | 1457034241 |
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| Provider Enumeration Date | 08/09/2023 |
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| Last Update Date | 08/09/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4486094737 |
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| Medicare Enrollment ID | O20240502004095 |
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Medical Identifiers
Medical identifiers for Mecca Dental Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457034241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mecca Dental Pllc acts as a billing entity for following providers:
| Provider Name | Sulmaan Farooqui |
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| Provider Type | Practitioner - Dentist |
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| Provider Identifiers | NPI Number: 1548595184
PECOS PAC ID: 8224333489
Enrollment ID: I20240502004111 |
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