KASALLIS WESTSIDE DENTAL PLLC (NPI# 1588216949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588216949 |
| Entity Type | Organization |
| Organization Name | KASALLIS WESTSIDE DENTAL PLLC |
| Practice Address |
824 E Redd Rd Ste 1-b El Paso TX 79912-7262 |
| Mailing Address |
6309 Natalicio Ln El Paso TX 79912-1859 |
| Practice Telephone | 9152046941 |
| Mailing Telephone | 9152046941 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | DR. ANTHONY JOHN KASALLIS (OWNER) |
| Authorized Official Telephone | 9152046941 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
824 E REDD RD STE 1-B |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-7262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 |
| 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 |
| 1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
| 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.