Northern New Mexico Periodontal Assoc. in Santa Fe - Periodontics
Northern New Mexico Periodontal Assoc. - NPI 1043371842
Northern New Mexico Periodontal Assoc. is a Periodontics in Santa Fe, New Mexico. Northern New Mexico Periodontal Assoc. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Northern New Mexico Periodontal Assoc. is 1043371842. The last update date is 2020-08-22.
Northern New Mexico Periodontal Assoc.'s current location address is 318 Grant Ave, Santa Fe, New Mexico. You can contact this provider via phone number 5059888822 and fax number 5059888824. The mailing address for Northern New Mexico Periodontal Assoc. is 318 Grant Ave, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern New Mexico Periodontal Assoc. |
|---|---|
| Address | 318 Grant Ave, Santa Fe, New Mexico |
| Phone Number | 5059888822 |
| Fax Number | 5059888824 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Parker Dean William |
| Credentials | D.D.S |
| Telephone Number | 5059888822 |
NPI Number Detail
| NPI Number | 1043371842 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 318 Grant Ave |
|---|---|
| City | Santa Fe |
| State | New Mexico (NM) |
| Post Code | 875011933 |
| Phone Number | 5059888822 |
| Fax Number | 5059888824 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DD1125 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Northern New Mexico Periodontal Assoc.'s 1043371842?
The Northern New Mexico Periodontal Assoc.'s NPI (National Provider Identifier) Number is 1043371842. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Northern New Mexico Periodontal Assoc. located?
The Northern New Mexico Periodontal Assoc. is located at 318 Grant Ave, Santa Fe, NM 875011933.
What is the Northern New Mexico Periodontal Assoc.'s area of specialization and corresponding taxonomy classification?
The Northern New Mexico Periodontal Assoc.'s specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When was the Northern New Mexico Periodontal Assoc.'s 1043371842 issued?
The Northern New Mexico Periodontal Assoc.'s 1043371842 was issued on 2006-12-13.
When was the Northern New Mexico Periodontal Assoc.'s information last updated?
The Northern New Mexico Periodontal Assoc.'s information was last updated on 2020-08-22.