Esthetic Dental Group Llc in Farmington - Dentist
Esthetic Dental Group Llc - NPI 1699981324
Esthetic Dental Group Llc is a Dentist in Farmington, New Mexico. Esthetic Dental Group Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Esthetic Dental Group Llc is 1699981324. The last update date is 2020-08-22.
Esthetic Dental Group Llc's current location address is 708 E 20th, Farmington, New Mexico. You can contact this provider via phone number 5053276155 and fax number 5053276156. The mailing address for Esthetic Dental Group Llc is 708 E 20th, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Esthetic Dental Group Llc |
|---|---|
| Address | 708 E 20th, Farmington, New Mexico |
| Phone Number | 5053276155 |
| Fax Number | 5053276156 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Dunn R Phillip |
| Credentials | DDS |
| Telephone Number | 5053276155 |
NPI Number Detail
| NPI Number | 1699981324 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 708 E 20th |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 87401 |
| Phone Number | 5053276155 |
| Fax Number | 5053276156 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Esthetic Dental Group Llc's unique identification number?
The Esthetic Dental Group Llc has been assigned the NPI (National Provider Identifier) Number 1699981324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Esthetic Dental Group Llc is physically located?
The Esthetic Dental Group Llc is physically situated at the following address: 708 E 20Th, Farmington, NM, 87401.
What is the Esthetic Dental Group Llc's area of specialization and corresponding taxonomy classification?
The Esthetic Dental Group Llc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Esthetic Dental Group Llc receive its 1699981324 assignment from the Centers for Medicare & Medicaid Services?
The Esthetic Dental Group Llc was assigned its 1699981324 by the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the information regarding Esthetic Dental Group Llc most recently updated?
The details pertaining to the Esthetic Dental Group Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.