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Agave Dental Fun Zone Pllc

Dental Clinic/Center in El Paso, TX · enumerated 2023 · authorized official Anthony Kasallis, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861106114

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Registry record

Entity type Organization (Type 2)
Legal business name Agave Dental Fun Zone Pllc
Practice address 10501 Gateway Blvd W Ste 107, El Paso, TX, 79925
Phone (915) 204-6941
Enumeration date Jan 11, 2023
Last updated in NPPES Jan 11, 2023

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Anthony Kasallis
Title Dentist
Phone (915) 833-0303

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Agave Dental Fun Zone Pllc?
The NPI for Agave Dental Fun Zone Pllc is 1861106114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Agave Dental Fun Zone Pllc?
NPPES lists Anthony Kasallis (Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-11.