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AGAVE DENTAL CARE EAST PLLC
NPI 1508505140
Dentist - General Practice in El Paso, TX

Active since June 01, 2022
1806 MCRAE BLVD, EL PASO, TX 79925(915) 591-7117 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agave Dental Care East Pllc NPPES

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

AGAVE DENTAL CARE EAST PLLC (NPI 1508505140) is a healthcare organization registered as a general practice in El Paso, Texas and active in the NPI registry since June 2022. The organization lists Joseph Alexander Havig, Manager, as its authorized official.

NPPES Registry Identity

NPI1508505140
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAGAVE DENTAL CARE EAST PLLC
Location Address1806 MCRAE BLVDEl Paso, TX 79925-6706
Mailing Address1806 Mcrae BlvdEl Paso, TX 79925-6706 · (915) 591-7117
Phone(915) 591-7117
Organization SubpartNo
Authorized OfficialJoseph Alexander HavigManager · (480) 284-1338
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1508505140 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.
1806 MCRAE BLVD, El Paso, TX 79925
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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 2

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

DR. JUAN M. GONZALEZ D.D.S.
Dentist (General Practice)
1806 MCRAE BLVD
EL PASO, TX 79925
El Paso County (915) 591-7117
STAR CITY DENTAL
Dentist (General Practice)
1806 MCRAE BLVD
EL PASO, TX 79925
El Paso County (915) 591-7117

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 Agave Dental Care East PLLC's NPI number?

The NPI number for Agave Dental Care East PLLC is 1508505140. It was assigned to this organization in the NPPES registry on June 1, 2022.

Where is Agave Dental Care East PLLC located?

Agave Dental Care East PLLC is located at 1806 Mcrae Blvd, El Paso, TX 79925. The listed phone number is (915) 591-7117.

What is Agave Dental Care East PLLC'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 Agave Dental Care East PLLC was last updated on June 1, 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.