1. Home
  2. Directory
  3. Texas
  4. Odessa
  5. Dentist
  6. NPI Profile

EMMANUEL YADOGLAH DDS
NPI 1083107494
Dentist in Odessa, TX

Active since June 11, 2018PECOS Enrolled
2260 LINDA AVE STE 103, ODESSA, TX 79763(432) 333-4867 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emmanuel Yadoglah Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL YADOGLAH DDS (NPI 1083107494) is an individual dentist in Odessa, Texas, licensed in Texas (34229) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083107494
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameEMMANUEL YADOGLAHCredential: DDS
Location Address2260 LINDA AVE STE 103Odessa, TX 79763-2665
Mailing Address2260 Linda Ave Ste 103Odessa, TX 79763-2665 · (432) 333-4867 · Fax (432) 333-4870
Phone(432) 333-4867
Sole ProprietorNo
Enumeration DateJune 11, 2018
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1083107494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 34229
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 34229 (TX)
2260 LINDA AVE STE 103, Odessa, TX 79763
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuel Yadoglah Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWIN OSMAND PERALTA D.D.S
Dentist
2260 LINDA AVE STE 103
ODESSA, TX 79763
Ector County (432) 614-2246
SAHAR NADIMI DDS
Dentist
2260 LINDA AVE STE 103
ODESSA, TX 79763
Ector County (432) 614-2246
BLISS DENTAL PLLC
Dentist
2260 LINDA AVE STE 103
ODESSA, TX 79763
Ector County (432) 333-4867
QUYEN TRAN DMD
Dentist (General Practice)
2260 LINDA AVE STE 103
ODESSA, TX 79763
Ector County (432) 333-4867
WIJDAN DABEEK
Dentist
2260 LINDA AVE STE 103
ODESSA, TX 79763
Ector County (432) 614-2246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Yadoglah's NPI number?

The NPI number for Emmanuel Yadoglah is 1083107494. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Emmanuel Yadoglah located?

Emmanuel Yadoglah practices at 2260 Linda Ave Ste 103, Odessa, TX 79763. The listed phone number is (432) 333-4867.

What is Emmanuel Yadoglah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Emmanuel Yadoglah enrolled in Medicare?

Yes. Emmanuel Yadoglah is registered in the Medicare PECOS enrollment system.

What insurance does Emmanuel Yadoglah accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Emmanuel Yadoglah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanuel Yadoglah was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.