Organization · Type 2 NPI

1601 2nd Street Gallup Professional, LLC

General Practice Dentistry · Gallup, NM

NPI number 1386309870 Active

Practice location

1601 S Second St
Gallup, NM 87301-5816

Call (505) 722-4422 Map

Fax (505) 722-2060

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone 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.

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About NPI 1386309870

1601 2nd Street Gallup Professional, LLC's National Provider Identifier is 1386309870, issued on Nov 1, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gallup, NM. The record was last updated on Nov 1, 2021.