# ELITE FAMILY DENTISTRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Dentistry of El Paso
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043088727
- **Authorized official:** DR. JUAN ANTONIO VERASTEGUI DDS (DENTIST)
- **Authorized official phone:** (915) 205-3500

## Contact information

- **Practice address:** 12261 EASTLAKE BLVD, STE E507 & E508, EL PASO, TX 79928
- **Practice address phone:** (915) 234-7344
- **Mailing address:** 12261 EASTLAKE BLVD STE E507, EL PASO, TX 79928-7800
- **Mailing address phone:** (915) 205-3500
- **Mailing address fax:** (915) 205-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 09/20/2024