Provider Demographics
NPI:1568949717
Name:JESSICAS. KAPPEL DDS 2
Entity Type:Organization
Organization Name:JESSICAS. KAPPEL DDS 2
Other - Org Name:EL PASO DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-364-8923
Mailing Address - Street 1:1200 CERRITO GRANDE LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2044
Mailing Address - Country:US
Mailing Address - Phone:210-364-8923
Mailing Address - Fax:
Practice Address - Street 1:201 BARTLETT DR STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1607
Practice Address - Country:US
Practice Address - Phone:915-584-4497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental