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LEA COUNTY DENTAL NPI 1679931356


NPI Information

NPI: 1679931356
Provider Name: LEA COUNTY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 32D1084745

Address:
701 N MAIN AVE
LOVINGTON, NM
ZIP 88260
Phone: (408) 306-8365
Get Directions

LEA COUNTY DENTAL is a general practice dentist in Lovington, 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. LEA COUNTY DENTAL NPI is 1679931356. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 N MAIN AVE
LOVINGTON, NM
ZIP 88260-417
Phone: (408) 306-8365

The provider's authorized official is Nishanth Reddy Puchalapalli .
The authorized official title is Dentist and has the following contact phone number (408) 306-8365.

The CLIA number assigned to this NPI record is 32D1084745 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/12/2016.


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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223G0001XDentistGeneral PracticeYes

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

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