NORTHERN NEW MEXICO PERIODONTAL ASSOC. NPI 1043371842

NPI Information

NORTHERN NEW MEXICO PERIODONTAL ASSOC. is a periodontics dentist in Santa Fe, NM. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NORTHERN NEW MEXICO PERIODONTAL ASSOC. NPI is 1043371842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

318 GRANT AVE
SANTA FE, NM
ZIP 87501-933
Phone: (505) 988-8822
Fax: (505) 988-8824

The provider's authorized official is William Dean Parker .
The authorized official title is President and has the following contact phone number (505) 988-8822.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

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:

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