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.
Organization
SUN CITY DENTAL, PLLC
Active
Organization
SUN CITY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVEN GONZALEZ DDS (DIRECTOR/DENTIST)
(915) 201-2539
Entity
Organization
Contact information
Practice address
11240 MONTWOOD DR, SUITE J, EL PASO, TX 79936-4249
(915) 201-2539
(915) 613-5082
Mailing address
11240 MONTWOOD DR, SUITE J, EL PASO, TX 79936-4249
(915) 201-2539
(915) 613-5082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25489
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32048136579
TEXAS TAX PAYER NUMBER
TX
Enumeration date
04/03/2014
Last updated
05/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up