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DRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY PC NPI 1841331311


NPI Information

NPI: 1841331311
Provider Name: DRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY, PC

Former Legal Business Name: DRS. CONIFF & GORMLEY PEDIATRIC DENTISTRY, PC

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2701 MISSOURI AVE STE C
LAS CRUCES, NM
ZIP 88011
Phone: (505) 522-8229
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DRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY, PC is a pediatric dentistry dentist in Las Cruces, NM. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY, PC NPI is 1841331311. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Drs. Coniff & Gormley Pediatric Dentistry, Pc.

The provider's business location address is:

2701 MISSOURI AVE STE C
LAS CRUCES, NM
ZIP 88011-091
Phone: (505) 522-8229
Fax: (505) 522-8123

The provider's authorized official is Karen Z. Gutierrez .
The authorized official title is Owner and has the following contact phone number (575) 522-8229.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 4/17/2024.


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
11223P0221XDentistPediatric DentistryYes

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

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