Enamel One Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25381 Issued in TX

Legal business name

ENAMEL ONE DENTAL PLLC

Practice address

5561 Alameda Ave Ste B
El Paso, TX 79905-2915

Phone

(214) 971-2568

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Elias Domenico Perlasca

Title

Consultant

Phone

(214) 971-2568

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Galaxy Dental Doing business as

Locations

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1508359696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 GARLAND RD STE",
            "address_2": "STE 381 - #313",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183471",
            "telephone_number": "214-971-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 ALAMEDA AVE STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052915",
            "telephone_number": "214-971-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAMEL ONE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "PERLASCA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "DOMENICO",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "214-971-2568"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1760701833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galaxy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jun 13, 2018; 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.