Organization · Type 2 NPI

Santa Fe Dentist Office, LLC

General Practice Dentistry · Santa Fe, NM

NPI number 1982062048 Active

Practice location

5131 Main Street, 101
Santa Fe, NM 87507

Call (505) 209-9080 Map

Fax (505) 750-9982

Mailing address

PO Box 920050
Dallas, TX 75392-0050

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.

Other general practice dentistry providers in Santa Fe

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NPI record

NPI: 1982062048
Entity type: Organization (Type 2)
Issued: Feb 4, 2016
Last updated: Feb 7, 2022
Status: Active

Other names

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Santa Fe Dentist Office · doing business as
Santa Fe Dentist Office · doing business as

Authorized official

Dr. Kelley Hollingsworth Ryals, DDS
Owner Dentist
(505) 209-9080

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 1982062048

Santa Fe Dentist Office, LLC's National Provider Identifier is 1982062048, issued on Feb 4, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Fe, NM. The record was last updated on Feb 7, 2022.