Organization · Type 2 NPI

New Mexico Professional Dental Associates, Inc

General Practice Dentistry · Rio Rancho, NM

NPI number 1255764650 Active

Practice location

4120 Barbara Loop SE
Rio Rancho, NM 87124-1000

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

3 other providers at this address

Other general practice dentistry providers in Rio Rancho

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NPI record

NPI: 1255764650
Entity type: Organization (Type 2)
Issued: Aug 21, 2013
Last updated: Aug 21, 2013
Status: Active
Subpart: Yes of New Mexico Professional Dental Associates, Inc

Other names

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Rio Rancho Dental Arts · doing business as

Authorized official

Kim Wilson
Credentialing Supervisor
(217) 540-5170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255764650

New Mexico Professional Dental Associates, Inc's National Provider Identifier is 1255764650, issued on Aug 21, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rio Rancho, NM. The record was last updated on Aug 21, 2013.