Individual provider · Type 1 NPI

Carson Van Etta, DMD

Dentist · El Paso, TX

NPI number 1154085470 Active

Practice location

10175 Gateway Blvd W Ste 304
El Paso, TX 79925-2203

Other practice locations

  • 1770 Cimarron Rialto Pl, El Paso, TX 79912 · (915) 833-2969

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X37875 (TX)

Dentist: 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 requiremen…

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About NPI 1154085470

Carson Van Etta, DMD's National Provider Identifier is 1154085470, issued on Oct 22, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in El Paso, TX. The record was last updated on Aug 25, 2026.