OrganizationActive
Odessa Mall Fdc PA
NPI 1801054044 · Dentist · Odessa, TX
Odessa Mall Fdc PA is a Dentist organization in Odessa, TX (NPI 1801054044).
Provider details
- NPI number
- 1801054044
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lynn Armstrong, Regional Manager(505) 328-4867
- License
- 0008481 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4101 E 42nd
Ste B23
Odessa, TX 79762-7239
Phone: (432) 363-4867
Fax: (432) 363-1799
Street-level locationGet directions
Mailing address
4101 E 42nd
Odessa, TX 79762-7239
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-05-23
Frequently asked questions
- What is Odessa Mall Fdc PA's NPI number?
- Odessa Mall Fdc PA's National Provider Identifier (NPI) is 1801054044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Odessa Mall Fdc PA?
- Odessa Mall Fdc PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Odessa Mall Fdc PA located?
- Odessa Mall Fdc PA's practice location on file with NPPES is 4101 E 42nd, Odessa, TX 79762-7239.
- What is Odessa Mall Fdc PA's phone number?
- The practice phone number listed in the NPPES registry for Odessa Mall Fdc PA is (432) 363-4867.
- Who is the authorized official for Odessa Mall Fdc PA?
- The authorized official listed on Odessa Mall Fdc PA's NPPES record is Lynn Armstrong, Regional Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Odessa Mall Fdc PA's NPI active?
- Yes — Odessa Mall Fdc PA's NPI (1801054044) is active in the NPPES registry as of the last update on 2008-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.