EL PASO ORAL SURGERY CENTER, PLLC (NPI# 1699133801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699133801 |
| Entity Type | Organization |
| Organization Name | EL PASO ORAL SURGERY CENTER, PLLC |
| Other Organization Name | EL PASO ORAL MAXILLOFACIAL AND IMPLANT SURGERY CENTER |
| Practice Address |
7878 Gateway Blvd East Suite 301 El Paso TX 79915 |
| Mailing Address |
6421 Saratoga Blvd Bldg 101 Corpus Christi TX 78414 |
| Practice Telephone | 3619923873 |
| Practice Fax Number | 3619927328 |
| Mailing Telephone | 3619923873 |
| Mailing Fax Number | 3619927328 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | ROBERT B GULLEY (OWNER/ORAL SURGEON) |
| Authorized Official Telephone | 3619923873 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| El Paso Oral Maxillofacial And Implant Surgery Center | Doing Business As Name - Organization |
| Street Address |
7878 GATEWAY BLVD EAST SUITE 301 |
| City | EL PASO |
| State | TX |
| Zip Code | 79915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081527 | Sandra Juarez | Licensed Vocational Nurse | 173 Coronado Rd #1008 Bldg 1, El Paso, TX 79915 | 2019-06-10 |
| 1356850861 | Md Shahaduzzaman | Nurse Practitioner | 7812 Gateway Blvd. East, Suite 110, El Paso, TX 79915 | 2017-09-27 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1851763296 | Shela Marie Carter | Counselor | 7833 Corozal Dr., El Paso, TX 79915 | 2015-10-26 |
| 1841680691 | Texan Procedure Center, LLC | Clinic/Center | 7924 Gateway Blvd E Ste 150j, El Paso, TX 79915 | 2015-02-02 |
| 1356749105 | Walter Nongmo Zimoh | Pharmacist | 8045 North Loop Drive, El Paso, TX 79915 | 2014-12-10 |
| 1073918892 | Edgar B Reyes | Home Health | 183 Edith Dr., El Paso, TX 79915 | 2014-10-23 |
| 1275934408 | Sonia Esther Cortez | Counselor | 7722 North Loop, Suite 5, El Paso, TX 79915 | 2014-09-08 |
| 1336570704 | Elsa Erika Gomez | Counselor | 7722 Northloop, El Paso, TX 79915 | 2013-12-10 |
| 1588931042 | The Croc Doc, P.C. | Dentist | 7878 Gateway East Blvd, El Paso, TX 79915 | 2011-11-28 |
| Find all providers in zip 79915 | ||||
| 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 |
| 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 |
| 1326423468 | El Paso Oral & Facial Surgeons, Pllc | Dentist | 1390 George Dieter Dr, Suite 120, El Paso, TX 79936-7420 | 2015-07-29 |
| 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 | ||||
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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.