Patriot Family Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PATRIOT FAMILY DENTAL PLLC

Practice address

10851 Gateway S Blvd
Suite 300
El Paso, TX 79934

Phone

(915) 260-6575

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Del Grant Greenhalgh, DMD

Title

Owner

Phone

(915) 260-6575

Specialties & licenses 1

Addresses

Other names 1

• Patriot Family Dental Doing business as

Locations

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1437733409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352717",
            "telephone_number": "352-443-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 GATEWAY S BLVD",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79934",
            "telephone_number": "915-260-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "GREENHALGH",
        "authorized_official_first_name": "DEL",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-260-6575",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Chandler LCSW PLLC
• Patricia M Davis MD PA
• Patricia Ruffier
• Patricio a. Pazmino PHD, MD, PA
• Patriot Emergency Physicians PLLC
• Patriot Rehabilitation and Wellness Center LLC
• Patriot Skilled Nursing and Rehabilitation LLC
• David S Patterson, MD
• John Patterson, M.D.
• Richard Brian Patterson, PH.D.

• 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 6, 2021; 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.