EDUCARE DENTAL SERVICES INC. NPI 1669462800

NPI Information

NPI: 1669462800
Provider Name: EDUCARE DENTAL SERVICES, INC.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 7 PINEWAY BLVD
CLOVIS, NM
ZIP 88101
Phone: (505) 762-4833

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NPI Details

EDUCARE DENTAL SERVICES, INC. is a general practice dentist in Clovis, 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. EDUCARE DENTAL SERVICES, INC. NPI is 1669462800. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7 PINEWAY BLVD
CLOVIS, NM
ZIP 88101-464
Phone: (505) 762-4833
Fax: (505) 762-4833

The provider's authorized official is Cynthia Ann Lakin .
The authorized official title is Owner and has the following contact phone number (505) 762-4833.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 3/11/2010.

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	1223G0001X	Dentist	General Practice	464	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	68528	MEDICAID	NEW MEXICO
2	16900588	OTHER	NEW MEXICO	PROVIDER I.D.

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: 3/30/2025

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