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PROFESSIONAL ASSOCIATE
NPI 1417027251
Dentist - Pediatric Dentistry in El Paso, TX

Active since November 09, 2006
11165 LA QUINTA PLACE, EL PASO, TX 79936(915) 591-1999(915) 591-3201 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Associate NPPES

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

PROFESSIONAL ASSOCIATE (NPI 1417027251) is a healthcare organization registered as a pediatric dentistry in El Paso, Texas and active in the NPI registry since November 2006. The organization lists Eugene Davis Stevenson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417027251
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTEVENSON DENTAL CLINIC FOR CHILDREN
Location Address11165 LA QUINTA PLACEEl Paso, TX 79936
Mailing Address11165 La Quinta PlaceEl Paso, TX 79936 · (915) 591-1999 · Fax (915) 591-3201
Phone(915) 591-1999
Fax(915) 591-3201
Organization SubpartNo
Authorized OfficialEugene Davis StevensonOwner · (915) 591-1999
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 1, 2009
✔ NPI 1417027251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 13513
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11165 LA QUINTA PLACE, El Paso, TX 79936
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Other Names 1

Other NameProfessional Associate

Other Identifiers 4

OtherG601421Delta Chip
OtherD13513Bcbs
Medicaid111009002TX
Other828328United Concordia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Stevenson Dental Clinic For Children's NPI number?

The NPI number for Stevenson Dental Clinic For Children is 1417027251. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Professional Associate.

Where is Stevenson Dental Clinic For Children located?

Stevenson Dental Clinic For Children is located at 11165 La Quinta Place, El Paso, TX 79936. The listed phone number is (915) 591-1999.

What is Stevenson Dental Clinic For Children's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Stevenson Dental Clinic For Children was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.