MEDICARE: MROCHEK DENTISTRY PLLC

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

General Provider Information

NPI Number	:	1801741764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MROCHEK DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	350 LAS COLINAS BLVD E APT 2092
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-5826
Country	:	US
Telephone Number	:	915-203-5686
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 W SLAUGHTER LN STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-6521
Country	:	US
Telephone Number	:	915-203-5686
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	DR. JUSTIN MICHAEL MROCHEK MROCHEK
Credential	:	DDS
Telephone Number	:	915-203-5686

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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