# EASTCHASE MIGHTY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mighty Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821620121
- **Authorized official:** NINA ABTAHI (MANGER)
- **Authorized official phone:** (214) 493-1216

## Contact information

- **Practice address:** 8430 EAST FWY \# 115, FORT WORTH, TX 76120-4428
- **Practice address phone:** (214) 493-1216
- **Practice address fax:** (214) 242-2006
- **Mailing address:** 8430 EAST FWY \# 115, FORT WORTH, TX 76120-4428
- **Mailing address phone:** (214) 493-1216
- **Mailing address fax:** (214) 242-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 02/05/2020