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PEAK FAMILY DENTAL PC NPI 1518438878


NPI Information

NPI: 1518438878
Provider Name: PEAK FAMILY DENTAL, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7470 CIMARRON MARKET
BLDG 6 STE 300
EL PASO, TX
ZIP 79911
Phone: (915) 229-6475
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PEAK FAMILY DENTAL, PC is a dental clinic center in El Paso, TX. PEAK FAMILY DENTAL, PC NPI is 1518438878. The provider is registered as an organization entity type.

The provider's business location address is:

7470 CIMARRON MARKET
BLDG 6 STE 300
EL PASO, TX
ZIP 79911
Phone: (915) 229-6475

The provider's authorized official is Iseoluwa Adebola Adedeji .
The authorized official title is Dentist and has the following contact phone number (210) 379-0044.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11427294438MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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