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El Paso Pellicano Family Dentistry
Dental Clinic/Center in El Paso, Texas
NPI 1629663356

El Paso Pellicano Family Dentistry is a Dental Clinic/Center based in El Paso, TX and is specialized in Dental. El Paso Pellicano Family Dentistry practices in El Paso, TX. The NPI Number for El Paso Pellicano Family Dentistry is 1629663356 and holds a License No. (Texas).

The current practice location address for El Paso Pellicano Family Dentistry is 11615 Pellicano Dr Ste 100, El Paso, TX and can be reached out via phone at 915-444-8006.

Location: 11615 Pellicano Dr Ste 100, El Paso, TX, 79936-6242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629663356
Provider Name
El Paso Pellicano Family Dentistry
Credential
Provider Entity Type
Organization
Address
11615 Pellicano Dr Ste 100, El Paso, TX, 79936-6242
Phone Number
915-444-8006
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11615 Pellicano Dr Ste 100
City
El Paso
State
Texas
Zip
79936-6242
Phone Number
915-444-8006
Fax Number
person
Provider Business Mailing Address Details
Address
11615 Pellicano Dr Ste 100
City
El Paso
State
Texas
Zip
79936-6242
Phone Number
915-444-8006
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Oral Medicinist
Speciality
-
Taxonomy
125Q00000X
License No.
()
Definition
A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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