Concho Valley Family Dental, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CONCHO VALLEY FAMILY DENTAL, P.A.

Doing business as

Dolce Vita Wellness & Dental Spa

Practice address

2102 Pecos St Ste 15
San Angelo, TX 76901-3061

Phone

(325) 275-4105

NPI assigned

Jun 10, 2026

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jay Fandel, DMDNPI 1417040940

Title

Owner/Dentist

Phone

(325) 275-4105

Specialties & licenses 1

Addresses

Other names 1

• Dolce Vita Wellness & Dental Spa Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Edward Fandel, D.M.D.

  • Dentist
  • San Angelo, TX
  • NPI 1417040940
  NPD Authorized official

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1851225270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 PECOS ST STE 15",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013061",
            "telephone_number": "325-275-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 PECOS ST STE 15",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013061",
            "telephone_number": "325-275-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO VALLEY FAMILY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "FANDEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "325-275-4105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dolce Vita Wellness & Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Concho Valley Chiropractic PLLC
• Concho Valley Council of Governments
• Concho Valley Emergency Physicians PLLC
• Concho Valley Errand Services
• Concho Valley Family Dental
• Concho Valley Hematology & Oncology, PLLC
• Concho Valley HHC of West TX LLC (Concho Valley Home Health Care)
• Concho Valley Medicine, LLC
• Concho Valley Rehab, P.a.
• Kathe Ann Conner, RN/FNP BC

• Dental Clinic/Center in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.