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LAS CRUCES DENTAL ASSOCIATES PC NPI 1497033310


NPI Information

NPI: 1497033310
Provider Name: LAS CRUCES DENTAL ASSOCIATES PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1022 9TH ST
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 437-7473
Get Directions

LAS CRUCES DENTAL ASSOCIATES PC is a general practice dentist in Alamogordo, 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. LAS CRUCES DENTAL ASSOCIATES PC NPI is 1497033310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1022 9TH ST
ALAMOGORDO, NM
ZIP 88310-470
Phone: (575) 437-7473
Fax: (575) 437-0079

The provider's authorized official is Mario Samaniego .
The authorized official title is President and has the following contact phone number (575) 437-7473.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 4/16/2012.


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
11223E0200XDentistEndodonticsNo
21223P0700XDentistProsthodonticsNo
31223G0001XDentistGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16662830001MEDICARE NSCNEW MEXICO

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: 11/14/2023

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