IndividualActive
Mitra Partow-Soroushi
NPI 1124187901 · General Practice Dentistry · Lewisville, TX
Provider details
- NPI number
- 1124187901
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 18192 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1288 W Main St Ste 123
Lewisville, TX 75067-3400
Phone: (972) 221-2220
Fax: (972) 432-6522
Street-level locationGet directions
Mailing address
1288 W Main St Ste 123
Lewisville, TX 75067-3400
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.