OrganizationActive
Fiesta Dental PLLC
NPI 1174922504 · Dentist · Hondo, TX
Provider details
- NPI number
- 1174922504
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tejal Dhanani, Owner(682) 234-4603
- License
- 25831 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
166 Menefee St
Suite C
Hondo, TX 78861
Phone: (201) 920-6343
Street-level locationGet directions
Mailing address
166 Menefee St
Hondo, TX 78861
Registry dates
- Enumerated
- 2014-08-21
- Last updated
- 2015-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.