Provider Demographics
NPI:1982334850
Name:GARCIA, ANTHONY (DDS)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11350 BLUE MOON DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-1344
Mailing Address - Country:US
Mailing Address - Phone:915-740-3076
Mailing Address - Fax:
Practice Address - Street 1:7451 PASEO DEL NORTE
Practice Address - Street 2:STE A400
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911
Practice Address - Country:US
Practice Address - Phone:915-990-2186
Practice Address - Fax:915-200-2893
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX386261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice