CABEZON PEDIATRIC DENTISTRY NPI 1801286299

NPI Information

NPI: 1801286299
Provider Name: CABEZON PEDIATRIC DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2421 CABEZON BLVD SE
RIO RANCHO, NM
ZIP 87124
Phone: (505) 884-5437
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CABEZON PEDIATRIC DENTISTRY is a dental clinic center in Rio Rancho, NM. CABEZON PEDIATRIC DENTISTRY NPI is 1801286299. The provider is registered as an organization entity type.

The provider's business location address is:

2421 CABEZON BLVD SE
RIO RANCHO, NM
ZIP 87124-515
Phone: (505) 884-5437

The provider's authorized official is Spencer J Tasker .
The authorized official title is Owner and has the following contact phone number (505) 884-5437.

The enumeration date for this NPI number is 1/23/2015 and was last updated on 1/23/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D2829	NEW MEXICO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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