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PELLICANO FAMILY DENTISTRY
NPI 1629663356
Clinic/Center - Dental in El Paso, TX

Active since March 04, 2021
11615 PELLICANO DR STE 100, EL PASO, TX 79936(915) 444-8006 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2022, Mar 4, 2021 (2 updates tracked since 2021).

About Pellicano Family Dentistry NPPES

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

PELLICANO FAMILY DENTISTRY (NPI 1629663356) is a healthcare organization registered as a dental in El Paso, Texas and active in the NPI registry since March 2021. The organization lists Jasvinder S Badwalz, Owner, as its authorized official.

NPPES Registry Identity

NPI1629663356
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEL PASO PELLICANO FAMILY DENTISTRY
Location Address11615 PELLICANO DR STE 100El Paso, TX 79936-6242
Mailing Address11615 Pellicano Dr Ste 100El Paso, TX 79936-6242 · (915) 444-8006
Phone(915) 444-8006
Organization SubpartNo
Authorized OfficialJasvinder S BadwalzOwner · (916) 747-8534
Enumeration DateMarch 4, 2021
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1629663356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedOral MedicineTaxonomy 125Q00000X
11615 PELLICANO DR STE 100, El Paso, TX 79936
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Other Names 1

Doing Business AsPellicano Family Dentistry

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 DentaQuest USA Insurance Company, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

SONIA CHONG DDS
Dentist
11615 PELLICANO DR STE 100
EL PASO, TX 79936
El Paso County (915) 444-8006

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 El Paso Pellicano Family Dentistry's NPI number?

The NPI number for El Paso Pellicano Family Dentistry is 1629663356. It was assigned to this organization in the NPPES registry on March 4, 2021. The provider is doing business as Pellicano Family Dentistry.

Where is El Paso Pellicano Family Dentistry located?

El Paso Pellicano Family Dentistry is located at 11615 Pellicano Dr Ste 100, El Paso, TX 79936. The listed phone number is (915) 444-8006.

What is El Paso Pellicano Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does El Paso Pellicano Family Dentistry accept?

Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list El Paso Pellicano Family Dentistry 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 El Paso Pellicano Family Dentistry was last updated on July 26, 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.