EL PASO ORAL SURGERY CENTER PLLC NPI 1699133801

NPI Information

  • NPI: 1699133801
  • Provider Name: EL PASO ORAL SURGERY CENTER, PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: EL PASO ORAL MAXILLOFACIAL AND IMPLANT SURGERY CENTER
  • Address: 7878 GATEWAY BLVD EAST
    SUITE 301
    EL PASO, TX
    ZIP 79915
  • Phone: (361) 992-3873

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NPI Details

EL PASO ORAL SURGERY CENTER, PLLC is an oral and maxillofacial surgery dentist in El Paso, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. EL PASO ORAL SURGERY CENTER, PLLC NPI is 1699133801. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As El Paso Oral Maxillofacial And Implant Surgery Center.

The provider's business location address is:

7878 GATEWAY BLVD EAST
SUITE 301
EL PASO, TX
ZIP 79915
Phone: (361) 992-3873
Fax: (361) 992-7328

The provider's authorized official is Robert B Gulley .
The authorized official title is Owner/oral Surgeon and has the following contact phone number (361) 992-3873.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 2/2/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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