Healthcare Provider Details

I. General information

NPI: 1578086393
Provider Name (Legal Business Name): MCS DENTAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4529 HWY 71 E
DEL VALLE TX
78617-3280
US

IV. Provider business mailing address

4529 E HWY 71
DEL VALLE TX
78617
US

V. Phone/Fax

Practice location:
  • Phone: 512-247-6000
  • Fax:
Mailing address:
  • Phone: 512-247-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ANTHONY SALAS
Title or Position: DOCTOR
Credential: DDS
Phone: 512-247-6000