Healthcare Provider Details

I. General information

NPI: 1669336624
Provider Name (Legal Business Name): JASVINDER BADWALZ DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S AMERICAS AVE STE 206
EL PASO TX
79907-6915
US

IV. Provider business mailing address

201 S AMERICAS AVE STE 206
EL PASO TX
79907-6915
US

V. Phone/Fax

Practice location:
  • Phone: 915-872-8118
  • Fax:
Mailing address:
  • Phone: 915-872-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JASVINDER BADWALZ
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 915-872-8118