NPI 1194164392 · live from the CMS NPI Registry
99 Braces
Dentist in El Paso, TX. National Provider Identifier 1194164392, active.
NPI record
| NPI | 1194164392 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 9411 Alameda Ave, Ste P, El Paso, TX 79907 |
| Practice phone | 915-858-6868 |
| Enumerated | June 20, 2013 |
| Last updated | June 20, 2013 |
| Authorized official | Jeffrey Erickson, DMD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 24362 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.