STEPHEN PETTY


Address: 6065 Montana Ave, El Paso, TX 79925-1835
Phone: 9157717966

STEPHEN PETTY (NPI# 1871894907) 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) 1871894907
Entity Type Individual
Full Name STEPHEN PETTY
Credential D.D.S
Practice Address 6065 Montana Ave
El Paso
TX 79925-1835
Practice Telephone 9157717966
Mailing Telephone 9157717966
Enumeration Date 2010-11-05
Last Update Date 2012-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 27160 TX Dental Providers

Other Providers STEPHEN PETTY

NPI Name Taxonomy Address Enumeration
1750812855 Stephen Allan Petty Internal Medicine Wake Forest School of Medicine Medical Blvd, Watllington Hall, 3rd Floor, Winston Salem, NC 27157-0001 2017-03-21
1821459280 Stephen Daniel Petty Physical Therapist 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308-4470 2016-03-14
1366491029 Stephen Marrs Petty Psychiatry & Neurology 27800 Medical Center Rd, Suite 350, Mission Viejo, CA 92691-6410 2006-05-09
1518964675 Stephen T Petty Ophthalmology 850 E Harvard Ave, Suite 155, Denver, CO 80210-5073 2005-07-05

Office Location

Street Address 6065 MONTANA AVE
City EL PASO
State TX
Zip Code 79925-1835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922040658 Zafer Hasan Haydar Specialist 6065 Montana Ave, Suite A2, El Paso, TX 79925-1835 2006-06-10
1861976995 Miranda Jean Castaneda Registered Nurse 6065 Montana Ave, El Paso, TX 79925-1835 2018-09-25
1457878514 Aicha Khamsi Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2017-08-29
1215457536 Nam Le Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2017-06-27
1912259631 Craig R Rainer Dentist 6065 Montana Ave, El Paso, TX 79925-1835 2012-10-04
1881918092 Ankur Bharat Patel Radiology 6065 Montana Ave, Suite A-6, El Paso, TX 79925-1835 2010-03-16
1861725228 Vicente Jacquez Nurse Practitioner 6065 Montana Ave, Suite A-2, El Paso, TX 79925-1835 2009-09-16
1881873008 North Mesa Dental, PC Dentist 6065 Montana Ave, Suite B4 - B10, El Paso, TX 79925-1835 2007-10-25
1457555351 El Paso Therapy Services Inc Durable Medical Equipment & Medical Supplies 6065 Montana Ave, Suite B2, El Paso, TX 79925-1835 2007-06-13
1386708865 E.p. Premier Medical Group, P.a. Internal Medicine 6065 Montana Ave, Suite A-2, El Paso, TX 79925-1835 2006-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003434820 Francisco Andres Escobar Dentist 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 2020-07-08
1982259495 Cruz Elvia Corral Assisted Living Facility 10165 Bermuda, El Paso, TX 79925 2019-08-02
1740846179 Sister Sisters In Home Care Services LLC In Home Supportive Care 9327 Sims Drive, Suite F, El Paso, TX 79925 2019-05-10
1245790450 Mario Salinas Student in an Organized Health Care Education/Training Program 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 2019-03-22
1720559289 Sweet Care Home Care Providers LLC PACE Provider Organization 7917 Sunmount Dr, El Paso, TX 79925 2018-12-10
1083130215 Javier Calzadilla Jr. Behavior Technician 9900 Montana Ave Ste C6, El Paso, TX 79925 2017-08-18
1942721980 Isela Cristina Sanchez Specialist/Technologist 3021 Killarney St., El Paso, TX 79925 2017-06-29
1831629617 Rebekah E Alvarez Behavior Technician 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 2017-06-14
1841646817 Imelda Barbosa Counselor 9455 Viscount 170, El Paso, TX 79925 2016-05-10
1528426491 Salnor, Inc. Clinic/Center 8517 Lockheed Dr., El Paso, TX 79925 2016-02-05
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548882863 Healing Dentistry Ep Pllc Dentist 7955 N Mesa St Ste A, El Paso, TX 79932-1625 2020-05-08
1578030276 Connor Family Dentistry East Pllc Dentist 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 2018-10-31
1114407970 Ep Dental Sleep Medicine, Pllc Dentist 6901 Helen of Troy Ste D2, El Paso, TX 79911-3130 2018-08-20
1689175697 Michael Grant Dentist 5939 Gateway Blvd W, El Paso, TX 79925-3323 2018-02-24
1891211322 Mendoza Family Dentistry Pllc Dentist 6351 S Desert Blvd Ste 210, El Paso, TX 79932-1233 2017-08-16
1275061822 Weronika Paula Douglas Dentist 3650 Joe Battle Blvd, El Paso, TX 79938-2628 2017-05-26
1679006514 Jose Carlos Noriega Dentist 112 De Leon Dr, El Paso, TX 79912-4510 2017-04-07
1063969152 Rahul Patel Dentist 1188 N Yarbrough Dr Ste A, El Paso, TX 79925-7926 2016-09-06
1669927059 Rodolfo Cereceres Dentist 7040 N Mesa St Ste A, El Paso, TX 79912-3667 2016-08-16
1407214646 Wiscott International Health Services Inc. Dentist 1205 Diamond Cove Pl, El Paso, TX 79912-7487 2016-02-02
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Competitor

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City EL PASO
Zip Code 79925

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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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