PEAK FAMILY DENTAL, PC


Address: 7470 Cimarron Market, Bldg 6 Ste 300, El Paso, TX 79911
Phone: 9152296475

PEAK FAMILY DENTAL, PC (NPI# 1518438878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518438878
Entity Type Organization
Organization Name PEAK FAMILY DENTAL, PC
Practice Address 7470 Cimarron Market
Bldg 6 Ste 300
El Paso
TX 79911
Mailing Address 6353 Calle Del Rio
El Paso
TX 79912-3436
Practice Telephone 9152296475
Mailing Telephone 2103790044
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Authorized Official Name DR. ISEOLUWA ADEBOLA ADEDEJI (DENTIST)
Authorized Official Telephone 2103790044
Authorized Official Credential BDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 1427294438 05

Office Location

Street Address 7470 CIMARRON MARKET
BLDG 6 STE 300
City EL PASO
State TX
Zip Code 79911

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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
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Competitor

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City EL PASO
Zip Code 79911

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Dataset Information

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.

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