DR. EDWIN OSMAND PERALTA D.D.S
NPI 1164002390
Dentist in Odessa, TX

Q: What is Edwin Peralta's NPI number?

The NPI number for Edwin Peralta is 1164002390. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Edwin Peralta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edwin Peralta was last updated on August 30, 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.

Active since April 12, 2021

2260 LINDA AVE STE 103, ODESSA, TX 79763(432) 614-2246 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 30, 2022, Apr 12, 2021 (2 updates tracked since 2021).

On this page

About Dr. Edwin Osmand Peralta D.d.s NPPES

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

DR. EDWIN OSMAND PERALTA D.D.S (NPI 1164002390) is an individual dentist in Odessa, Texas, licensed in Texas (38859) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1164002390

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. EDWIN OSMAND PERALTACredential: D.D.S

Location Address2260 LINDA AVE STE 103Odessa, TX 79763-2665

Mailing Address2260 Linda Ave Ste 103Odessa, TX 79763-2665 · (432) 614-2246

Phone(432) 614-2246

Sole ProprietorYes

Enumeration DateApril 12, 2021

Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1164002390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 38859

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.

2260 LINDA AVE STE 103, Odessa, TX 79763

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

EMMANUEL YADOGLAH DDS

Dentist