PARAISO DENTAL – NPI #1558741553
Clinic/Center

PARAISO DENTAL is an AHC clinic located in SAN JUAN, TX. NPPES has assigned the NPI number 1558741553 to PARAISO DENTAL on June 04, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PARAISO DENTAL” is a dba name, the actual legal business name for this organization is PARAISO DENTAL PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARAISO DENTAL below.

NPI Profile for
PARAISO DENTAL PLLC

NPI Number
1558741553
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARAISO DENTAL PLLC
Doing Business As (dba): PARAISO DENTAL
Primary location
1618 N VETERANS BLVD SUITE A
SAN JUAN, TX 78589
Phone: (706) 461-1631 Fax: (956) 781-7000
Mailing address
6708 W.MILE 7 RD.
MISSION, TX 78574
Phone: (956) 783-7070 Fax: (956) 781-7000
Organization Subpart
No
Authorized Official
GEORGE LUIKHAM
DENTIST
Phone: (956) 783-7070
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.