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Active NPI 1164002390 Individual Practitioner Male Practitioner

Dr. Edwin Osmand Peralta , DDS

Dentist • Odessa, TX

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Peralta, DDS is a registered healthcare professional specializing in Dentist in Odessa, TX. Practice services are available at 2260 LINDA AVE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2260 Linda Ave Ste 103

Odessa, TX 797632665

Telephone 4326142246
Associated Practice Facility / Clinic
🏢 Bliss Dental Pllc Facility NPI 1366737173

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
29 Specialists

Practicing in Odessa, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 38859

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215500533

Doctor of Dental Surgery

NPI 1992481923

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 30, 2022

Registered at 2260 LINDA AVE STE 103, ODESSA, TX 797632665 (Tel: 4326142246)

📍
Updated Business Mailing Address August 30, 2022

Registered at 2260 LINDA AVE STE 103, ODESSA, TX 797632665 (Tel: 4326142246)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Dentist (License #38859 in TX)

NPI Profile Active April 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2021

Registered at 339 E LELAND RD, PITTSBURG, CA 945654911 (Tel: 9253632000)

📍
Updated Business Mailing Address April 12, 2021

Registered at 7304 GLORIA AVE, VAN NUYS, CA 914063026 (Tel: 8188606410)

👤
Provider Name / Credentials Updated April 12, 2021

Recorded as EDWIN PERALTA, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164002390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2021
Last Update: August 30, 2022
Sole Proprietor: Yes

Mailing Address

2260 Linda Ave Ste 103

Odessa, TX 797632665

Phone: 4326142246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.