ELEGANZ DENTISTRY, PC (NPI# 1619327228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619327228 |
| Entity Type | Organization |
| Organization Name | ELEGANZ DENTISTRY, PC |
| Practice Address |
1618 N Veterans Blvd Suite A San Juan TX 78589-3216 |
| Mailing Address |
1618 N Veterans Blvd Suite A San Juan TX 78589 |
| Practice Telephone | 4692314419 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | DR. QUINCY ATTIPOE (DIRECTOR) |
| Authorized Official Telephone | 4692314419 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2 | 05 |
| Street Address |
1618 N VETERANS BLVD SUITE A |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487907176 | Victor Luikham | Dentist | 1618 N Veterans Blvd, San Juan, TX 78589-3216 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720618515 | Amanda Maria Laboy-correa | Dentist | 120 Ave Carlos Chardon, Quantum Metrocenter #002n, San Juan, PR 00918-0091 | 2020-01-21 |
| 1245890300 | Tooth Place Psja, Pllc | Dentist | 826 W Us Highway 83, San Juan, TX 78589-2139 | 2019-06-19 |
| 1598223430 | Sergio E Ferrer Mendez | Dentist | 551 Ave Escorial Caparra Heights, San Juan, PR 00920 | 2019-03-11 |
| 1144788795 | Lirie Alexandra Doyle | Dentist | 317 Ave De Diego, San Juan, PR 00920-2214 | 2019-03-03 |
| 1003386160 | Maria E Nater Snoring and Sleep Apnea Solutions LLC | Dentist | 201 Ave Manuel Domenech, San Juan, PR 00918-3505 | 2018-12-03 |
| 1255832192 | Norlis Felix Ventura | Dentist | Universidad De Puerto Rico Paseo Dr Jose Celso Bardosa, San Juan, PR 00921 | 2018-02-26 |
| 1821515511 | Dental World | Dentist | 654 Ave San Patricio, San Juan, PR 00920-4509 | 2017-08-24 |
| 1871032946 | Milmarie Lopez Silva | Dentist | 1453 Calle San Ignacio, Urb. Altamesa, San Juan, PR 00921 | 2017-02-22 |
| 1740639095 | Roxanna Delgado-rodriguez | Dentist | 1177 Calle Verona, San Juan, PR 00924 | 2016-06-08 |
| 1336593474 | Felix Omar Santiago | Dentist | 430 Ave. San Claudio Urb. Sagrado Corazon, San Juan, PR 00926 | 2016-04-14 |
| Find all providers in SAN JUAN | ||||
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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.