OrganizationActive
Forney Mirror Lake Dentistry PLLC
NPI 1730676735 · Dental Clinic/Center · Forney, TX
Provider details
- NPI number
- 1730676735
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Humphries, Director of Operations(972) 200-1190
- 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
845 N. Fm 548
Suite 150
Forney, TX 75126
Phone: (972) 200-1190
Street-level locationGet directions
Mailing address
845 N. Fm 548
Forney, TX 75126
Registry dates
- Enumerated
- 2018-04-16
- Last updated
- 2018-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.