Individual provider · Type 1 NPI
Amanda Jo Baca
Dental Hygienist · Grants, NM
Practice location
710 E Santa Fe
Grants, NM 87020-3926
Mailing address
1611 Terrace Loop
Grants, NM 87020-3926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH2920 (NM) |
Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…
About NPI 1679442669
Amanda Jo Baca's National Provider Identifier is 1679442669, issued on Oct 30, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Grants, NM. The record was last updated on Oct 30, 2025.