Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

12900 Eastlake PLLC

Organization General Practice Dentistry · NPI 1376314096

12900 Eastlake PLLC is a General Practice Dentistry in El Paso, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12900 Eastlake Blvd
El Paso, TX 79928
Phone: (915) 219-4713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1376314096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casie Garcia — Billing Operation · (915) 219-4713
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 9, 2024
Mailing address10510 Montwood Dr Ste B, El Paso, TX 79935-2717

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