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TAOS DENTAL GROUP NPI 1609267632


NPI Information

NPI: 1609267632
Provider Name: TAOS DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1392 WEIMER RD
TAOS, NM
ZIP 87571
Phone: (575) 758-8654
Get Directions

TAOS DENTAL GROUP is a general practice dentist in Taos, 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. TAOS DENTAL GROUP NPI is 1609267632. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1392 WEIMER RD
TAOS, NM
ZIP 87571-307
Phone: (575) 758-8654
Fax: (575) 737-0970

The provider's authorized official is Justin Nylund .
The authorized official title is Dentist and has the following contact phone number (575) 758-8654.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.


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
11223G0001XDentistGeneral PracticeDD1078NEW MEXICONo
21223G0001XDentistGeneral PracticeDD3407NEW MEXICOYes

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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