NPI age
3 years
Enumerated 2023-01-11
● Active Type 2 · Organization
Agave Dental Fun Zone Pllc
Agave Dental Fun Zone Pllc is 1 of 1762 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Kasallis
Dentist
Last NPPES update
2023-01-11
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
3 years
↓ 3 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
10501 Gateway Blvd W Ste 107
El Paso, TX 799257956
Mailing address
6309 Natalicio Ln
El Paso, TX 799121859
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6309 Natalicio Ln
El Paso, TX 799121859
Authorized official
Anthony Kasallis, DDS
Dentist
📞 9158330303
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Gisella Velez, DMD Dentist NPI 1104811579
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dental Fun Zone
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.