Agave Dental Care North East, Pllc

LBN: Agave Dental Care North East, Pllc
Agave Dental Care North East, Pllc is an health care organization with primary practice located at 8815 Dyer St Suite 210 , El Paso TX 79904. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Agave Dental Care North East, Pllc can be contacted via phone (915) 755-7697, or through Williams, Jake Russell via phone (915) 755-7697.

Contact Information

Primary practice address
8815 Dyer St Suite 210 El Paso TX 79904
Phone: (915) 755-7697
Fax: (915) 751-1056
Website:
Map and Directions
Authorized official contact:
Name: Williams, Jake Russell Doctor of Dental Surgery (DDS)
Phone: (915) 755-7697

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1295499739
LBN Legal business name Agave Dental Care North East, Pllc
DBA Doing business as
Authorized official Williams, Jake Russell Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2021
Last updated Oct 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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