OrganizationActive
Agave Dental Fun Zone PLLC
NPI 1861106114 · Dental Clinic/Center · El Paso, TX
Agave Dental Fun Zone PLLC is a Dental Clinic/Center organization in El Paso, TX (NPI 1861106114).
Provider details
- NPI number
- 1861106114
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anthony Kasallis, Dentist(915) 833-0303
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10501 Gateway Blvd W Ste 107
El Paso, TX 79925-7956
Phone: (915) 204-6941
Street-level locationGet directions
Mailing address
6309 Natalicio Ln
El Paso, TX 79912-1859
Other names (DBA / former)
- Doing business as
- Dental Fun Zone
Additional practice locations (1)
- 6309 Natalicio LnEl Paso, TX 79912-1859Phone: (915) 204-6941
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Frequently asked questions
- What is Agave Dental Fun Zone PLLC's NPI number?
- Agave Dental Fun Zone PLLC's National Provider Identifier (NPI) is 1861106114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agave Dental Fun Zone PLLC?
- Agave Dental Fun Zone PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Agave Dental Fun Zone PLLC located?
- Agave Dental Fun Zone PLLC's practice location on file with NPPES is 10501 Gateway Blvd W Ste 107, El Paso, TX 79925-7956.
- What is Agave Dental Fun Zone PLLC's phone number?
- The practice phone number listed in the NPPES registry for Agave Dental Fun Zone PLLC is (915) 204-6941.
- Who is the authorized official for Agave Dental Fun Zone PLLC?
- The authorized official listed on Agave Dental Fun Zone PLLC's NPPES record is Anthony Kasallis, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agave Dental Fun Zone PLLC's NPI active?
- Yes — Agave Dental Fun Zone PLLC's NPI (1861106114) is active in the NPPES registry as of the last update on 2023-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.