DENTAL ASSOCIATES PA NPI 1750484853

NPI Information

NPI: 1750484853
Provider Name: DENTAL ASSOCIATES PA
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Other Name: DENTAL ASSOCIATES PA
Address: 2205 S SOLANO DR
LAS CRUCES, NM
ZIP 88001
Phone: (505) 522-7320

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NPI Details

DENTAL ASSOCIATES PA is a general practice dentist in Las Cruces, 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. DENTAL ASSOCIATES PA NPI is 1750484853. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Dental Associates Pa.

The provider's business location address is:

2205 S SOLANO DR
LAS CRUCES, NM
ZIP 88001
Phone: (505) 522-7320
Fax: (505) 522-6395

The provider's authorized official is David A. Sudimack .
The authorized official title is President and has the following contact phone number (575) 522-7320.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 11/8/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	NM1518	NEW MEXICO	No
2	1223G0001X	Dentist	General Practice	NM2258	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	806920	OTHER		UNITED CONCORDIA INS
2	8403	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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