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

Agave Dental Fun Zone PLLC

Organization Dental Clinic/Center · NPI 1861106114

Agave Dental Fun Zone PLLC is a Dental Clinic/Center in El Paso, Texas. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10501 Gateway Blvd W Ste 107
El Paso, TX 79925-7956
Phone: (915) 204-6941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6309 Natalicio Ln, El Paso, TX 79912-1859 — (915) 204-6941

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1861106114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Kasallis — Dentist · (915) 833-0303
Other names Dental Fun Zone
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address6309 Natalicio Ln, El Paso, TX 79912-1859

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