DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHERN NEW MEXICO PERIODONTAL ASSOC.

Active Organization

NORTHERN NEW MEXICO PERIODONTAL ASSOC. is a Periodontology organization located in SANTA FE, New Mexico. NPI 1043371842 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SANTA FE, NM

Registration Details

NPI Number
1043371842
Provider Type
Organization
NPI Issued
Dec 13, 2006 (19.695977062136 yrs)
Last Updated
Aug 22, 2020
License
DD1125 (NM)

Practice Information

Address
318 GRANT AVE
SANTA FE, NM, 875011933
Browse NM providers · Browse ZIP 87501
Phone
5059888822
Fax
5059888824
Primary Specialty
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.