Individual provider Active NPI

Eric Leblanc, D.M.D.

  • General Practice Dentistry
  • Ft Bliss, TX
National Provider Identifier
1568560944
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO37141 Issued in PA
Practice address
Ft Bliss Dentac
Building 2901 Cassidy Rd
Ft Bliss, TX 79916
Phone
(915) 742-6001
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DSO37141 PA Primary

Addresses

Primary practice location

Ft Bliss Dentac
Building 2901 Cassidy Rd
Ft Bliss, TX 79916

Mailing address

312 Bellwoode Ave
El Paso, TX 79932-1285
Phone (732) 861-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000646 PA Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Other (Physician) 9739490574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO37141PAMDDentist
DIO18943NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1568560944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELLWOODE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321285",
            "telephone_number": "732-861-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FT BLISS DENTAC",
            "address_2": "BUILDING 2901 CASSIDY RD",
            "city": "FT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO37141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Bliss, TX

Sources for this page

Verify at the official NPI Registry.