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

PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC

Active Organization

PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC is a Dentist organization located in LAS CRUCES, New Mexico. NPI 1154624401 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAS CRUCES, NM

Registration Details

NPI Number
1154624401
Provider Type
Organization
NPI Issued
Dec 8, 2010 (15.691957394331 yrs)
Last Updated
Dec 8, 2010
License
DD2233 (NM)

Practice Information

Address
2450 SOUTH TELSHOR
MEMORIAL MEDICAL HOSPITAL
LAS CRUCES, NM, 880117594
Browse NM providers · Browse ZIP 88011
Phone
5756210800
Fax
5753733091
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
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.