GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC (NPI# 1821640822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821640822 |
| Entity Type | Organization |
| Organization Name | GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC |
| Practice Address |
7100 Westwind Dr Ste 110-115 El Paso TX 79912-1786 |
| Practice Telephone | 9152834730 |
| Practice Fax Number | 9152836210 |
| Mailing Telephone | 9152834730 |
| Mailing Fax Number | 9152836210 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | MR. GERARDO J GUILLEN RIVERA (PRESIDENT / OWNER) |
| Authorized Official Telephone | 9152834730 |
| Authorized Official Credential | DMD/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 |
|---|---|
| Prestige Oral and Facial Surgery Center | Doing Business As Name - Organization |
| Street Address |
7100 WESTWIND DR STE 110-115 |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-1786 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 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.