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NPI Code Detail

MEDICARE: DENTAL HEALTH ASSOCIATES OF TEXAS, PC

MEDICARE: DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1568319291
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Provider Business Mailing Address
First Line : 11125 LA QUINTA PL STE D
Second Line :
City : EL PASO
State : TX
Zip : 79936-5254
Country : US
Telephone Number : 915-422-7608
Fax Number :
Provider Business Practice Location Address
First Line : 11125 LA QUINTA PL STE D
Second Line :
City : EL PASO
State : TX
Zip : 79936-5254
Country : US
Telephone Number : 915-422-7608
Fax Number :
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : HILLARY THULL
Credential :
Telephone Number : 217-540-8946
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “DENTAL HEALTH ASSOCIATES OF TEXAS, PC ” Practice Location

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