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LAS CRUCES SMILES NPI 1558746099


NPI Information

NPI: 1558746099
Provider Name: LAS CRUCES SMILES
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

CLIA Number: 32D0929898

Address:
1160 COMMERCE DR STE B
LAS CRUCES, NM
ZIP 88011
Phone: (575) 640-3367
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LAS CRUCES SMILES is an orthodontics and dentofacial orthopedics dentist in Las Cruces, NM. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. LAS CRUCES SMILES NPI is 1558746099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1160 COMMERCE DR STE B
LAS CRUCES, NM
ZIP 88011-209
Phone: (575) 640-3367

The provider's authorized official is Keith Craig Coombs .
The authorized official title is Orthodontist/owner and has the following contact phone number (575) 640-3367.

The CLIA number assigned to this NPI record is 32D0929898 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 10/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsDD4079NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023267796OTHERNEW MEXICOINDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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