Individual provider · Type 1 NPI

Amanda Prue

Dental Hygienist · Las Vegas, NM

NPI number 1972468965 Active

Practice location

1235 8th St
Las Vegas, NM 87701-4219

Call (505) 425-6788 Map

Fax (505) 425-5408

Mailing address

538 N Paseo De Onate
Espanola, NM 87532-2618

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH5118 (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…

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About NPI 1972468965

Amanda Prue's National Provider Identifier is 1972468965, issued on Dec 22, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Las Vegas, NM. The record was last updated on Dec 22, 2025.