Edwin Osmand Peralta, D.D.S

Dentist · Odessa, TX

Individual Active NPI

NPI number 1164002390

Practice location

2260 Linda Ave Ste 103
Odessa, TX 79763-2665
Phone
(432) 614-2246

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NPI record

NPI
1164002390
Entity type
Individual (Type 1)
Enumeration date
April 12, 2021
Last updated
August 30, 2022
Certified
August 30, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 38859 TX

About Dr. Peralta

Edwin Osmand Peralta, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2260 Linda Ave Ste 103, Odessa, TX 79763-2665. The NPI number 1164002390 was assigned on April 12, 2021 and the record was last updated on August 30, 2022.

Dr. Peralta lists a license in the registry: #38859 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin Osmand Peralta, D.D.S?

The NPI number is 1164002390.

What is the phone number of Dr. Peralta?

The phone number listed for the practice location is (432) 614-2246.

Where is Dr. Peralta located?

2260 Linda Ave Ste 103, Odessa, TX 79763-2665.

What is the taxonomy code for Dr. Peralta?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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