Southern Blvd Dental Corp, Pa in Rio Rancho - General Practice
Southern Blvd Dental Corp, Pa - NPI 1316963739
Southern Blvd Dental Corp, Pa is a General Practice in Rio Rancho, New Mexico. Southern Blvd Dental Corp, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Southern Blvd Dental Corp, Pa is 1316963739. The last update date is 2020-08-22.
Southern Blvd Dental Corp, Pa's current location address is 2716 Southern Blvd Se, Rio Rancho, New Mexico. You can contact this provider via phone number 5058928600 and fax number 5058924215. The mailing address for Southern Blvd Dental Corp, Pa is 2716 Southern Blvd Se, Rio Rancho, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Blvd Dental Corp, Pa |
|---|---|
| Address | 2716 Southern Blvd Se, Rio Rancho, New Mexico |
| Phone Number | 5058928600 |
| Fax Number | 5058924215 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Goebbel G Martin |
| Credentials | DDS |
| Telephone Number | 5058928600 |
NPI Number Detail
| NPI Number | 1316963739 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2716 Southern Blvd Se |
|---|---|
| City | Rio Rancho |
| State | New Mexico (NM) |
| Post Code | 871243741 |
| Phone Number | 5058928600 |
| Fax Number | 5058924215 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DD1523 |
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Definition: 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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What is the Southern Blvd Dental Corp, Pa's 1316963739?
The Southern Blvd Dental Corp, Pa's NPI (National Provider Identifier) Number is 1316963739. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Southern Blvd Dental Corp, Pa's physical address?
The Southern Blvd Dental Corp, Pa is physically located at 2716 Southern Blvd Se, in the city of Rio Rancho, NM, with the postal code 871243741.
What is the Southern Blvd Dental Corp, Pa's specialty and taxonomy code?
The Southern Blvd Dental Corp, Pa's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Southern Blvd Dental Corp, Pa receive its 1316963739?
The Southern Blvd Dental Corp, Pa was issued its 1316963739 on 2006-07-15, which is the date when the organization was assigned this unique identifier.
When was the information related to Southern Blvd Dental Corp, Pa most recently updated or refreshed?
The details pertaining to the Southern Blvd Dental Corp, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.