Eastside Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20877 Issued in TX

Legal business name

EASTSIDE DENTAL CARE, PLLC

Practice address

1920 N Zaragoza Rd
Suite 107
El Paso, TX 79938-4655

Phone

(915) 921-5331

Fax

(915) 921-5333

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By 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. Paul Sunghee Ro, DDSNPI 1457469694

Title

Owner/Dentist

Phone

(915) 799-8758

Specialties & licenses 1

Addresses

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.

• Paul Sunghee Ro, D.D.S

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1457469694
  Authorized official Same address or phone

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1982889556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N ZARAGOZA RD",
            "address_2": "SUITE 107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384655",
            "telephone_number": "915-921-5331",
            "fax_number": "915-921-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N ZARAGOZA RD",
            "address_2": "SUITE 107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384655",
            "telephone_number": "915-921-5331",
            "fax_number": "915-921-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "RO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SUNGHEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "915-799-8758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East El Paso Physicians' Medical Center, LLC (Foundation Surgical Hospital of El Paso - Surecare Pharmacy)
• East El Paso Physicians' Medical Center, LLC (Legent Hospital of El Paso)
• East El Paso Womens Healthcare Center PA
• East-Side Oncology Clinic, PLLC
• Thomas Glenn Easter II, MD
• Eastside Doctors' Association, LLC
• Eastside Eye Associates, P.a. (Eastside Eye Associates)
• Eastside Family Care Center PLLC
• Eastside Night Clinic
• Eastside Occmed Center, PA

• General Practice Dentistry in El Paso, TX
• 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 Jan 2, 2008; 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.