Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEROY BACA, DDS
ActiveLEROY BACA, DDS is a Dentist healthcare provider located in T OR C, New Mexico. NPI 1154314177 is currently active in the NPPES registry. Verify at CMS.
Dentist · T OR C, NM
Registration Details
- NPI Number
- 1154314177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.798063623705 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DD1705 (NM)
Practice Information
- Address
-
1960 N DATE STT OR C, NM, 879013701Browse NM providers · Browse ZIP 87901
- Phone
- 5052673088
- Fax
- 5052671747
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in T OR C, NM
| Name | Credential | NPI |
|---|---|---|
| MARK WIATT | DDS | 1801889209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.