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SANTA FE MODERN DENTISTRY AND ORTHODONTICS LLC NPI 1689950008


NPI Information

NPI: 1689950008
Provider Name: SANTA FE MODERN DENTISTRY AND ORTHODONTICS, LLC

Doing Business As: SANTA FE MODERN DENTISTRY AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3569 ZAFARANO BOULEVARD
SANTA FE, NM
ZIP 87507
Phone: (505) 986-8000
Get Directions

SANTA FE MODERN DENTISTRY AND ORTHODONTICS, LLC is a general practice dentist in Santa Fe, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SANTA FE MODERN DENTISTRY AND ORTHODONTICS, LLC NPI is 1689950008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Santa Fe Modern Dentistry And Orthodontics.

The provider's business location address is:

3569 ZAFARANO BOULEVARD
SANTA FE, NM
ZIP 87507
Phone: (505) 986-8000
Fax: (505) 982-0374

The provider's authorized official is Kelley Hollingsworth Ryals .
The authorized official title is Owner Doctor and has the following contact phone number (505) 986-8000.

The enumeration date for this NPI number is 10/31/2011 and was last updated on 12/31/2013.


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
11223G0001XDentistGeneral PracticeYes

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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