Santa Fe Community College Dental Clinic in Santa Fe - General Practice

Santa Fe Community College Dental Clinic - NPI 1790953404

Santa Fe Community College Dental Clinic is a General Practice in Santa Fe, New Mexico. Santa Fe Community College Dental Clinic practices all healthcare services and medical treatments related to General Practice. The NPI Number for Santa Fe Community College Dental Clinic is 1790953404. The last update date is 2008-02-15.

Santa Fe Community College Dental Clinic's current location address is 6401 S Richards Ave, Santa Fe, New Mexico. You can contact this provider via phone number 5054281710 and fax number 5054281511. The mailing address for Santa Fe Community College Dental Clinic is 6401 S Richards Ave, Santa Fe, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Santa Fe Community College Dental Clinic
Address 6401 S Richards Ave, Santa Fe, New Mexico
Phone Number 5054281710
Fax Number 5054281511
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Otero Alfred
Credentials DDS
Telephone Number 5054281710

NPI Number Detail

NPI Number 1790953404
Provider Enumeration Date 2008-02-15
Last Updated Date 2008-02-15

Provider Mailing Address Detail

Address 6401 S Richards Ave
City Santa Fe
State New Mexico (NM)
Post Code 875084887
Phone Number 5054281710
Fax Number 5054281511

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
68727 NM --

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FAQs about Santa Fe Community College Dental Clinic

What is the unique 10-digit identification code assigned to Santa Fe Community College Dental Clinic by the Centers for Medicare & Medicaid Services?

The Santa Fe Community College Dental Clinic has been issued the NPI (National Provider Identifier) 1790953404, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Santa Fe Community College Dental Clinic's physical address?

The Santa Fe Community College Dental Clinic is physically located at 6401 S Richards Ave, in the city of Santa Fe, NM, with the postal code 875084887.

What is the Santa Fe Community College Dental Clinic's area of specialization and corresponding taxonomy classification?

The Santa Fe Community College Dental Clinic's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Santa Fe Community College Dental Clinic receive the assignment of its 1790953404 from the Centers for Medicare & Medicaid Services?

The Santa Fe Community College Dental Clinic was issued its 1790953404 by the Centers for Medicare & Medicaid Services on 2008-02-15.

As of what date was the information pertaining to Santa Fe Community College Dental Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Santa Fe Community College Dental Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-15.

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