EL PASO PELLICANO FAMILY DENTISTRY
NPI 1770396798
Dentist - General Practice in El Paso, TX

Active since January 31, 2025
10039 DYER ST, EL PASO, TX 79924(915) 759-7000 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About El Paso Pellicano Family Dentistry NPPES

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

EL PASO PELLICANO FAMILY DENTISTRY (NPI 1770396798) is a healthcare organization registered as a general practice in El Paso, Texas and active in the NPI registry since January 2025. The organization lists Jasvinder Badwalz, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1770396798
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEL PASO PELLICANO FAMILY DENTISTRY
Location Address10039 DYER STEl Paso, TX 79924-4136
Mailing Address10039 Dyer StEl Paso, TX 79924-4136 · (915) 759-7000
Organization SubpartNo
Authorized OfficialJasvinder BadwalzOwner Dentist · (916) 747-8534
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1770396798 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.
10039 DYER ST, El Paso, TX 79924

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.

Clinic/Center (Dental)
10039 DYER ST
EL PASO, TX 79924

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 1770396798. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is El Paso Pellicano Family Dentistry located?

El Paso Pellicano Family Dentistry is located at 10039 Dyer St, El Paso, TX 79924. The listed phone number is (915) 759-7000.

What is El Paso Pellicano Family Dentistry'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 El Paso Pellicano Family Dentistry was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.