NEW MEXICO DENTAL CLINICS LLC NPI 1013404581

NPI Information

NPI: 1013404581
Provider Name: NEW MEXICO DENTAL CLINICS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1594 SARA RD SE STE C
RIO RANCHO, NM
ZIP 87124
Phone: (866) 851-6236
Get Directions

NEW MEXICO DENTAL CLINICS LLC is a customized equipment durable medical equipment medical supplies in Rio Rancho, NM. NEW MEXICO DENTAL CLINICS LLC NPI is 1013404581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1594 SARA RD SE STE C
RIO RANCHO, NM
ZIP 87124
Phone: (866) 851-6236

The provider's authorized official is George Hanna .
The authorized official title is Owner and has the following contact phone number (505) 273-3220.

The enumeration date for this NPI number is 4/19/2018 and was last updated on 8/22/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DD4651	NEW MEXICO	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD4651	OTHER	NEW MEXICO	DENTAL LICENSE

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

NPI Synchronization or Removal

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