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SANTA FE DENTIST OFFICE LLC NPI 1982062048


NPI Information

NPI: 1982062048
Provider Name: SANTA FE DENTIST OFFICE, LLC

Doing Business As: SANTA FE DENTIST OFFICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5131 MAIN STREET
101
SANTA FE, NM
ZIP 87507
Phone: (505) 209-9080
Get Directions

SANTA FE DENTIST OFFICE, 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 DENTIST OFFICE, LLC NPI is 1982062048. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Santa Fe Dentist Office.

The provider's business location address is:

5131 MAIN STREET
101
SANTA FE, NM
ZIP 87507
Phone: (505) 209-9080
Fax: (505) 750-9982

The provider's authorized official is Kelley Hollingsworth Ryals .
The authorized official title is Owner Dentist and has the following contact phone number (505) 209-9080.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 2/7/2022.


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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