PELLICANO FAMILY DENTISTRY PLLC


Address: 11615 Pellicano Dr # 100, El Paso, TX 79936-6242
Phone: 9154448006

PELLICANO FAMILY DENTISTRY PLLC (NPI# 1407413594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407413594
Entity Type Organization
Organization Name PELLICANO FAMILY DENTISTRY PLLC
Practice Address 11615 Pellicano Dr # 100
El Paso
TX 79936-6242
Practice Telephone 9154448006
Mailing Telephone 9154448006
Enumeration Date 2019-05-23
Last Update Date 2019-05-23
Authorized Official Name LUPITA MENDOZA (OFFICE MANAGER)
Authorized Official Telephone 2146166148
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 11615 PELLICANO DR # 100
City EL PASO
State TX
Zip Code 79936-6242

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NPI Name Taxonomy Address Enumeration
1285233171 Center At Zaragoza, LLC Skilled Nursing Facility 12660 Pebble Hills Blvd., El Paso, TX 79936 2020-10-21
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1316597768 Larry Felix Specialist/Technologist 11720 Teachers Dr., El Paso, TX 79936 2019-09-18
1508323486 Aaron John Palos Pharmacist 11320 Montwood, Pharmacy, El Paso, TX 79936 2019-02-27
1366919508 Katrina Belvin Social Worker 1390 Georger Dieter Dr., #140, El Paso, TX 79936 2018-10-25
1063993244 Assisted Living Meals 11065 Tom Weiskopf Dr, El Paso, TX 79936 2018-08-24
1588142962 Miriam Salazar Occupational Therapy Assistant 1351 James Watt Dr., El Paso, TX 79936 2018-07-30
1902315179 David Galindo Occupational Therapist 1415 Zaragoza, El Paso, TX 79936 2017-09-20
1861915589 Lizette Salcido Behavior Technician 3221 Running Deer Dr., El Paso, TX 79936 2017-07-25
1659801264 Edith Nneoma Vincent Registered Nurse 11829 Gwen Evans Ln, El Paso, TX 79936 2017-06-15
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1588216949 Kasallis Westside Dental Pllc Clinic/Center 824 E Redd Rd Ste 1-b, El Paso, TX 79912-7262 2019-07-15
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
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Competitor

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City EL PASO
Zip Code 79936

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Dataset Information

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.

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