OrganizationActive
Heartland Mirror Lake Dentistry PLLC
NPI 1558858704 · Dental Clinic/Center · Heartland, TX
Provider details
- NPI number
- 1558858704
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Humphries, Director of Operations(972) 200-4311
- License
- 29699 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2049 Sunnybrook Dr
Heartland, TX 75126-1270
Phone: (972) 200-4311
Street-level locationGet directions
Mailing address
2049 Sunnybrook Dr
Heartland, TX 75126-1270
Registry dates
- Enumerated
- 2018-04-13
- Last updated
- 2018-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.