Dental Boss of El Paso PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL BOSS OF EL PASO PLLC

Practice address

2150 Trawood Dr Ste A200
El Paso, TX 79935-3327

Phone

(972) 838-3772

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Maxim M Mossman, DDS

Title

Owner

Phone

(972) 838-3772

Specialties & licenses 2

Addresses

Other names 1

• El Paso Affordable Dental Doing business as

Locations

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1427716265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195487",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE A200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353327",
            "telephone_number": "972-838-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BOSS OF EL PASO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "MOSSMAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-838-3772",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Affordable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Montalvo, LPC, NCC, P.a.
• Monica Marissa Denning, FNP-C
• Talisha Jenelle Dennis, AGACNP-BC
• Gloria Moreno Dennison, RN
• Jeannette Marie Denogean
• Dental Fun Zone PLLC
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC
• Dentcheck LLC

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.