SOY INTY PA (NPI# 1013208776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013208776 |
| Entity Type | Organization |
| Organization Name | SOY INTY PA |
| Other Organization Name | NORTHEAST DENTAL CENTER |
| Practice Address |
9201 Dyer St Suite B El Paso TX 79924-6441 |
| Practice Telephone | 9157517070 |
| Mailing Telephone | 9157517070 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | DR. DWIGHT L BAILEY (PRESIDENT) |
| Authorized Official Telephone | 9157517070 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
24393 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI TYPE 1 | 1538314232 | 01 |
| Other Name | Type Code |
|---|---|
| Northeast Dental Center | Doing Business As Name - Organization |
| Street Address |
9201 DYER ST SUITE B |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1295366722 | Sol Smiles | Clinic/Center | 5500 Doniphan Dr Ste G, El Paso, TX 79932-1455 | 2020-02-03 |
| 1366080905 | Omni Endodontics, Pllc | Clinic/Center | 1397 George Dieter Dr Ste B, El Paso, TX 79936-7681 | 2019-12-13 |
| 1588216949 | Kasallis Westside Dental Pllc | Clinic/Center | 824 E Redd Rd Ste 1-b, El Paso, TX 79912-7262 | 2019-07-15 |
| 1407413594 | Pellicano Family Dentistry Pllc | Clinic/Center | 11615 Pellicano Dr # 100, El Paso, TX 79936-6242 | 2019-05-23 |
| 1518438878 | Peak Family Dental, PC | Clinic/Center | 7470 Cimarron Market, Bldg 6 Ste 300, El Paso, TX 79911 | 2018-12-16 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1043734593 | Elite Dental Pllc | Clinic/Center | 3060 Joe Battle Blvd, El Paso, TX 79938-2621 | 2017-07-26 |
| 1821523473 | Alameda Dental Care, Pllc | Clinic/Center | 100 S Americas Ave, El Paso, TX 79907-6901 | 2017-04-20 |
| 1639533748 | Kimball Care | Clinic/Center | 520 Gomez Rd, El Paso, TX 79932-4202 | 2016-04-06 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.