Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERRICK RAY BACA, DDS
ActiveDental Public Health · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1295014769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2011 (14.683910737801 yrs)
- Last Updated
- Aug 15, 2011
- License
-
DD3492 (NM)
Practice Information
- Address
-
5608 ZUNI RD SEALBUQUERQUE, NM, 871082926Browse NM providers · Browse ZIP 87108
- Phone
- 5052626547
- Primary Specialty
-
Dental Public Health
1223D0001X
Other Dental Public Health Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. NANCY L SANDMANN | D.D.S. | 1134143423 |
| DR. WILLIAM ALBERT SCHULZ | DDS | 1235306242 |
| DR. KATELYN MARIE KREH | — | 1730717869 |
| DR. GIOVANNI AVILA | DMD | 1437733524 |
| AFRA HUSSAIN | — | 1447082979 |
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.