MEDICARE: MINDY C MONCONDUIT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	37197	TX

General Provider Information

NPI Number	:	1255004958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDY C MONCONDUIT DDS

Provider Business Mailing Address
First Line	:	2737 BEN THOMAS ST
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7172
Country	:	US
Telephone Number	:	214-808-6473
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 E RENFRO ST STE 109
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-3958
Country	:	US
Telephone Number	:	817-717-9086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	01/23/2026

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Directions to “ MINDY C MONCONDUIT DDS” Practice Location

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