Pellicano Family Dentistry

LBN: El Paso Pellicano Family Dentistry
Pellicano Family Dentistry is an health care organization with primary practice located at 11615 Pellicano Dr Ste 100 , El Paso TX 79936-6242. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral Medicinist, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. El Paso Pellicano Family Dentistry can be contacted via phone (915) 444-8006, or through Badwalz, Jasvinder S via phone (916) 747-8534.

Contact Information

Primary practice address
11615 Pellicano Dr Ste 100 El Paso TX 79936-6242
Phone: (915) 444-8006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Badwalz, Jasvinder S Doctor of Dental Medicine (DMD)
Phone: (916) 747-8534

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral Medicinist 125Q00000X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1629663356
LBN Legal business name El Paso Pellicano Family Dentistry
DBA Doing business as Pellicano Family Dentistry
Authorized official Badwalz, Jasvinder S Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2021
Last updated Jul 26th, 2022 - 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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