FAMILIA DENTAL ESP LLC NPI 1356634703

NPI Information

NPI: 1356634703
Provider Name: FAMILIA DENTAL ESP LLC

Doing Business As: FAMILIA DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1508 N RIVERSIDE DR
ESPANOLA, NM
ZIP 87532
Phone: (888) 988-4066
Get Directions

FAMILIA DENTAL ESP LLC is a dental clinic center in Espanola, NM. FAMILIA DENTAL ESP LLC NPI is 1356634703. The provider is registered as an organization entity type.
The provider Is Doing Business As Familia Dental.

The provider's business location address is:

1508 N RIVERSIDE DR
ESPANOLA, NM
ZIP 87532-054
Phone: (888) 988-4066
Fax: (847) 496-7603

The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentailing & Payer Relations Mgr and has the following contact phone number (847) 453-7396.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 10/15/2021.

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	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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