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SOCORRO DENTAL LLC NPI 1932643038


NPI Information

NPI: 1932643038
Provider Name: SOCORRO DENTAL LLC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
204B NEEL AVE
SOCORRO, NM
ZIP 87801
Phone: (267) 318-6667
Get Directions

SOCORRO DENTAL LLC is a dentist in Socorro, NM. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. SOCORRO DENTAL LLC NPI is 1932643038. The provider is registered as an organization entity type.

The provider's business location address is:

204B NEEL AVE
SOCORRO, NM
ZIP 87801-649
Phone: (267) 318-6667

The provider's authorized official is George Hanna .
The authorized official title is Owner and has the following contact phone number (575) 993-5032.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 8/30/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2122300000XDentistDD4651NEW MEXICOYes

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
189223829MEDICAIDNEW MEXICO
21881755825OTHERNEW MEXICONPI

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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