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FAMILIA DENTALCLOVIS LLC NPI 1841583291


NPI Information

NPI: 1841583291
Provider Name: FAMILIA DENTALCLOVIS LLC

Doing Business As: FAMILIA DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4017 N PRINCE ST
CLOVIS, NM
ZIP 88101
Phone: (575) 762-2757
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FAMILIA DENTALCLOVIS LLC 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. FAMILIA DENTALCLOVIS LLC NPI is 1841583291. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Familia Dental.

The provider's business location address is:

4017 N PRINCE ST
CLOVIS, NM
ZIP 88101-705
Phone: (575) 762-2757
Fax: (575) 762-2769

The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentialing & Payer Relations Mgr and has the following contact phone number (847) 453-7396.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 6/24/2021.


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
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDentalNo

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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