Childrens Dental Clinic Of Ruidoso Pc in Ruidoso - Dental
Childrens Dental Clinic Of Ruidoso Pc - NPI 1376618967
Childrens Dental Clinic Of Ruidoso Pc is a Dental in Ruidoso, New Mexico. Childrens Dental Clinic Of Ruidoso Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Childrens Dental Clinic Of Ruidoso Pc is 1376618967. The last update date is 2007-09-05.
Childrens Dental Clinic Of Ruidoso Pc's current location address is 721 Mechem Sierra Mall #5, Ruidoso, New Mexico. You can contact this provider via phone number 5052570246 and fax number 5052570249. The mailing address for Childrens Dental Clinic Of Ruidoso Pc is 721 Mechem Sierra Mall #5, Ruidoso, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childrens Dental Clinic Of Ruidoso Pc |
|---|---|
| Address | 721 Mechem Sierra Mall #5, Ruidoso, New Mexico |
| Phone Number | 5052570246 |
| Fax Number | 5052570249 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcguinness Allen Mack |
| Credentials | DDS |
| Telephone Number | 5052570246 |
NPI Number Detail
| NPI Number | 1376618967 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 721 Mechem Sierra Mall #5 |
|---|---|
| City | Ruidoso |
| State | New Mexico (NM) |
| Post Code | 883456911 |
| Phone Number | 5052570246 |
| Fax Number | 5052570249 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | DD1984 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008C53 | NM | BC/BS OF NM | |
| 71823 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Childrens Dental Clinic Of Ruidoso Pc by the Centers for Medicare & Medicaid Services?
The Childrens Dental Clinic Of Ruidoso Pc has been issued the NPI (National Provider Identifier) 1376618967. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Childrens Dental Clinic Of Ruidoso Pc's physical address?
The Childrens Dental Clinic Of Ruidoso Pc is physically located at 721 Mechem Sierra Mall #5, in the city of Ruidoso, NM, with the postal code 883456911.
What is the area of specialization for Childrens Dental Clinic Of Ruidoso Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Childrens Dental Clinic Of Ruidoso Pc is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376618967 to Childrens Dental Clinic Of Ruidoso Pc?
The Centers for Medicare & Medicaid Services originally issued the 1376618967 to Childrens Dental Clinic Of Ruidoso Pc on 2006-11-21.
When was the Childrens Dental Clinic Of Ruidoso Pc's information last updated?
The Childrens Dental Clinic Of Ruidoso Pc's information was last updated on 2007-09-05.
NPI Number: 1619970878
Address: 5808 W 8th, Wichita, KS
NPI Number: 1427051218
Address: 9510 Ormsby Station Rd, Louisville, KY
NPI Number: 1245232347
Address: 15 Strawberry Ave, Lewiston, ME
NPI Number: 1760486542
Address: 8600 Wurzbach Rd Ste 700, San Antonio, TX