Provider Demographics
NPI:1093435547
Name:AL-ZAINAL, MOHAMMED (DDS, MSC)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:AL-ZAINAL
Suffix:
Gender:M
Credentials:DDS, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E PROSPER TRL STE 10
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-3652
Mailing Address - Country:US
Mailing Address - Phone:469-850-5555
Mailing Address - Fax:
Practice Address - Street 1:5209 HERITAGE AVE STE 100
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5996
Practice Address - Country:US
Practice Address - Phone:817-581-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics