Ep Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EP DENTAL PLLC

Practice address

6232 Gateway Blvd E
El Paso, TX 79905-2005

Phone

(972) 512-0285

NPI assigned

Jan 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarabjit Khassa

Title

Owner

Phone

(972) 512-0285

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1356730188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635",
            "telephone_number": "972-512-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052005",
            "telephone_number": "972-512-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-512-0285"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.