Main Street Dentistry in Los Lunas - Dental
Main Street Dentistry - NPI 1710052543
Main Street Dentistry is a Dental in Los Lunas, New Mexico. Main Street Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Main Street Dentistry is 1710052543. The last update date is 2020-08-22.
Main Street Dentistry's current location address is 705 Main St Sw, Los Lunas, New Mexico. You can contact this provider via phone number 5058653395 and fax number 5058651414. The mailing address for Main Street Dentistry is 705 Main St Sw, Los Lunas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Dentistry |
|---|---|
| Address | 705 Main St Sw, Los Lunas, New Mexico |
| Phone Number | 5058653395 |
| Fax Number | 5058651414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Uilkie Philip Ronald |
| Credentials | D.D.S. |
| Telephone Number | 5058653395 |
NPI Number Detail
| NPI Number | 1710052543 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 705 Main St Sw |
|---|---|
| City | Los Lunas |
| State | New Mexico (NM) |
| Post Code | 870318308 |
| Phone Number | 5058653395 |
| Fax Number | 5058651414 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Main Street Dentistry by the Centers for Medicare & Medicaid Services?
The Main Street Dentistry has been assigned the NPI (National Provider Identifier) 1710052543. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Main Street Dentistry?
The Main Street Dentistry is situated at 705 Main St Sw, in the city of Los Lunas, state of NM, with the zip code 870318308.
What is Main Street Dentistry's area of expertise and its corresponding taxonomy classification?
The Main Street Dentistry's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710052543 to Main Street Dentistry?
The Centers for Medicare & Medicaid Services originally issued the 1710052543 to Main Street Dentistry on 2006-11-20.
When was the information pertaining to Main Street Dentistry most recently updated or revised?
The details related to Main Street Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.