Provider Demographics
NPI:1598381428
Name:COLE, ASHLEY
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 DYER STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-5925
Mailing Address - Country:US
Mailing Address - Phone:915-755-7697
Mailing Address - Fax:915-751-1056
Practice Address - Street 1:8815 DYER STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-5925
Practice Address - Country:US
Practice Address - Phone:915-755-7697
Practice Address - Fax:915-751-1056
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377881223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program