# EDGEMERE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgemere Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366022774
- **Authorized official:** DEL GRANT GREENHALGH DMD (OWNER)
- **Authorized official phone:** (915) 921-6200

## Contact information

- **Practice address:** 12371 EDGEMERE BLVD STE 206, EL PASO, TX 79938-4878
- **Practice address phone:** (915) 921-6200
- **Mailing address:** 10510 MONTWOOD DR STE B, EL PASO, TX 79935-2717
- **Mailing address phone:** (352) 443-9151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2021
- **Last updated:** 04/09/2021