EL PASO ORAL & FACIAL SURGEONS, PLLC (NPI# 1326423468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326423468 |
| Entity Type | Organization |
| Organization Name | EL PASO ORAL & FACIAL SURGEONS, PLLC |
| Practice Address |
1390 George Dieter Dr Suite 120 El Paso TX 79936-7420 |
| Mailing Address |
4447 N Central Expy Suite 110, Pmb 434 Dallas TX 75205-4245 |
| Practice Telephone | 6184026622 |
| Mailing Telephone | 6184026622 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | MR. CLARK A. PETERSEN JR. (BUSINESS MANAGER) |
| Authorized Official Telephone | 6184026622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30862 | TX | Dental Providers |
| Street Address |
1390 GEORGE DIETER DR SUITE 120 |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760670756 | Andres Aristizabal-ortiz | Pediatrics | 1390 George Dieter Dr, Suite 100, El Paso, TX 79936-7420 | 2007-10-04 |
| 1871036913 | Cathaline Lilian Hermosillo | Nurse Practitioner | 1390 George Dieter Dr, El Paso, TX 79936-7420 | 2016-11-21 |
| 1104214725 | Bettina Volk | Clinical Nurse Specialist | 1390 George Dieter Dr, Suite 100, El Paso, TX 79936-7420 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
| 1659548774 | North Mesa Dental, PC | Dentist | 5130 Fairbanks Dr, El Paso, TX 79924-3813 | 2008-05-08 |
| 1366635369 | Gerardo Jose Guillen Rivera | Dentist | 4504 Parade Willow Dr, El Paso, TX 79922-2235 | 2007-08-22 |
| 1386849446 | Ryan J Smart | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925 | 2007-06-19 |
| 1588662365 | Sandra Milburn Edwards | Dentist | 210 Thunderbird Dr, Suite V, El Paso, TX 79912-3910 | 2005-07-14 |
| 1295091064 | Edward Weston Santee | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-7618 | 2012-04-06 |
| 1669613485 | Natasha Furchtgott | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925 | 2009-03-09 |
| 1275700742 | David Michael Yates | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-7618 | 2008-05-13 |
| 1063689065 | Reo P Pugao | Dentist | 10175 Gateway Blvd W, Ste 304, El Paso, TX 79925-7618 | 2008-05-09 |
| Find all providers in EL PASO | ||||
Please comment or provide details below to improve the information on EL PASO ORAL & FACIAL SURGEONS, PLLC.
| 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.