EDGEWOOD FAMILY DENTISTRY is a general practice dentist in Edgewood, 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. EDGEWOOD FAMILY DENTISTRY NPI is 1316917495. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1917 OLD HIGHWAY 66
EDGEWOOD, NM
ZIP 87015-000
Phone: (505) 281-0373
Fax: (505) 281-0373
The provider's authorized official is Stephen L Harrington .
The authorized official title is Owner and has the following contact phone number (505) 281-0373.
The CLIA number assigned to this NPI record is 32D2240861 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/23/2006 and was last updated on 8/22/2020.