EASTSIDE DENTAL CARE, PLLC (NPI# 1982889556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982889556 |
| Entity Type | Organization |
| Organization Name | EASTSIDE DENTAL CARE, PLLC |
| Practice Address |
1920 N Zaragoza Rd Suite 107 El Paso TX 79938-4655 |
| Practice Telephone | 9159215331 |
| Practice Fax Number | 9159215333 |
| Mailing Telephone | 9159215331 |
| Mailing Fax Number | 9159215333 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | DR. PAUL SUNGHEE RO (OWNER/DENTIST) |
| Authorized Official Telephone | 9157998758 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20877 | TX | Dental Providers |
| Street Address |
1920 N ZARAGOZA RD SUITE 107 |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639589328 | Madison Carrico | Occupational Therapist | 1920 N Zaragoza Rd, Suite 108, El Paso, TX 79938-4655 | 2014-05-02 |
| 1477991073 | M & D Legacy | Occupational Therapist | 1920 N Zaragoza Rd, Suite 108, El Paso, TX 79938-4655 | 2013-06-06 |
| 1730337973 | Diane Denise Rodriguez | Occupational Therapist | 1920 N Zaragoza Rd, Suite 108, El Paso, TX 79938-4655 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| 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 |
|---|---|---|---|---|
| 1790383206 | Flores Sapien Dentistry Pllc | Dentist | 8889 Gateway Blvd W Ste 1100, El Paso, TX 79925-6542 | 2020-10-16 |
| 1033729199 | Christian Diego Lepure | Dentist | 7598 N Mesa St Ste A, El Paso, TX 79912-3518 | 2020-08-04 |
| 1609494111 | Pallavi Sharma | Dentist | 201 S Americas Ave Ste 206, El Paso, TX 79907-6915 | 2020-07-10 |
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1356969315 | Julia Kathleen Escobar | Dentist | 5001 N Mesa St Apt 1304, El Paso, TX 79912-5930 | 2020-07-07 |
| 1093330789 | Access Dental of El Paso Pllc | Dentist | 8825 N Loop Dr Ste 126, El Paso, TX 79907-4606 | 2020-06-09 |
| 1912550559 | John Andrew Loiselle | Dentist | 600 Sunland Park Dr Ste 600, El Paso, TX 79912-5115 | 2019-07-23 |
| 1164083309 | Erica Lepure | Dentist | 1280 Hawkins Blvd Ste 100, El Paso, TX 79925-4949 | 2019-06-27 |
| 1710542196 | Amanda Christine Griego | Dentist | 1050 Sunland Park Dr # B200, El Paso, TX 79922-1326 | 2019-05-01 |
| 1508328451 | North Mesa Family Dental, Pllc | Dentist | 6135 N Mesa St Ste C, El Paso, TX 79912-4515 | 2019-04-01 |
| 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.