Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Music City Mall Dental Practice, PC

Organization General Practice Dentistry · NPI 1265737910

Music City Mall Dental Practice, PC provides General Practice Dentistry in Odessa, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4101 E 42nd St # B-23
Odessa, TX 79762-7239 Not confirmed with CMS for 15 years — call before visiting
Phone: (432) 363-4867
Fax: (432) 363-1799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1265737910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Owens — Manager · (432) 520-4867
NPI enumeratedJanuary 11, 2011
Last updated in NPPESJanuary 11, 2011
Mailing address4101 E 42nd St # B-23, Odessa, TX 79762-7239

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