HEALING DENTISTRY EP PLLC (NPI# 1548882863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548882863 |
| Entity Type | Organization |
| Organization Name | HEALING DENTISTRY EP PLLC |
| Other Organization Name | EZ DENTAL CARE |
| Practice Address |
7955 N Mesa St Ste A El Paso TX 79932-1625 |
| Mailing Address |
13998 Horizon Blvd Ste 140 Horizon City TX 79928-6599 |
| Practice Telephone | 3233810383 |
| Mailing Telephone | 3233810383 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | EUKYEOM KIM (OWNER) |
| Authorized Official Telephone | 3233810383 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 125Q00000X | Oral Medicinist | Dental Providers |
| Other Name | Type Code |
|---|---|
| EZ dental care | Doing Business As Name - Organization |
| Street Address |
7955 N MESA ST STE A |
| City | EL PASO |
| State | TX |
| Zip Code | 79932-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932267 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932 | 2019-06-25 |
| 1730676461 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8041 N Mesa St # A, El Paso, TX 79932 | 2018-04-18 |
| 1134616063 | Barbara Jin Yoon | Nurse Practitioner | 8041 N Mesa St Ste B3, El Paso, TX 79932 | 2018-04-17 |
| 1225540370 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 7825 N. Mesa St., El Paso, TX 79932 | 2017-10-30 |
| 1386187995 | Nec El Paso Upper Valley Emergency Center, Lp | Clinic/Center | 7860 N Mesa St, El Paso, TX 79932 | 2016-11-30 |
| 1356708028 | Monica Fabiola Delgado | Health Educator | 740 Country Club Rd, El Paso, TX 79932 | 2016-01-26 |
| 1558736504 | Laura Castillo Cole | Nurse Practitioner | 5021 Crossroads Drive, El Paso, TX 79932 | 2015-12-02 |
| 1942644224 | Jessica Marie Rymer | Pediatrics | 181 Gus Rallis Dr, El Paso, TX 79932 | 2013-04-17 |
| 1053670323 | Gwendolyn N. Facison | Contractor | 732 Elmwood Ct B, El Paso, TX 79932 | 2012-05-08 |
| 1063780518 | Stacey S Grajeda | Pharmacist | 8050 N Mesa, Walgreens, El Paso, TX 79932 | 2011-12-12 |
| Find all providers in zip 79932 | ||||
| Taxonomy Code | 125Q00000X |
| Grouping | Dental Providers |
| Classification | Oral Medicinist |
| A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention. |
| Notes: Source: National Uniform Claim Committee [1/1/2015: new] Additional Resources: American Academy of Oral Medicine |
Please comment or provide details below to improve the information on HEALING DENTISTRY EP PLLC.
| 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.