# EVERSMILE DENTIST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eversmile Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639961410
- **Authorized official:** JAEGUN AHN (OWNER)
- **Authorized official phone:** (562) 331-9840

## Contact information

- **Practice address:** 3624 JOE BATTLE BLVD UNIT 110, EL PASO, TX 79938-2628
- **Practice address phone:** (915) 219-7773
- **Practice address fax:** (915) 219-7078
- **Mailing address:** 3624 JOE BATTLE BLVD UNIT 110, EL PASO, TX 79938-2628
- **Mailing address phone:** (915) 219-7773
- **Mailing address fax:** (915) 219-7078

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2025
- **Last updated:** 05/19/2025