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CONCHO VALLEY FAMILY DENTAL
NPI 1083337240
Dentist - General Practice in San Angelo, TX

Active since September 22, 2022
2102 PECOS ST STE 1, SAN ANGELO, TX 76901(325) 944-4984 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concho Valley Family Dental NPPES

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

CONCHO VALLEY FAMILY DENTAL (NPI 1083337240) is a healthcare organization registered as a general practice in San Angelo, Texas and active in the NPI registry since September 2022. The organization lists Jay Fandel, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1083337240
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCONCHO VALLEY FAMILY DENTAL
Location Address2102 PECOS ST STE 1San Angelo, TX 76901-3061
Mailing Address2102 Pecos St Ste 1San Angelo, TX 76901-3061 · (325) 944-4984
Phone(325) 944-4984
Organization SubpartNo
Authorized OfficialJay FandelOwner / Dentist · (602) 466-5687
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1083337240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2102 PECOS ST STE 1, San Angelo, TX 76901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JAY EDWARD FANDEL D.M.D.
Dentist
2102 PECOS ST STE 1
SAN ANGELO, TX 76901
Tom Green County (325) 944-4984

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 Concho Valley Family Dental's NPI number?

The NPI number for Concho Valley Family Dental is 1083337240. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Concho Valley Family Dental located?

Concho Valley Family Dental is located at 2102 Pecos St Ste 1, San Angelo, TX 76901. The listed phone number is (325) 944-4984.

What is Concho Valley Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Concho Valley Family Dental was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.