Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY LESLIE BACA, RDH
Active Sole ProprietorKATHY LESLIE BACA, RDH is a Dental Hygienist healthcare provider located in PENASCO, New Mexico. NPI 1679440044 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · PENASCO, NM
Registration Details
- NPI Number
- 1679440044
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2025 (0.66917083532877 yrs)
- Last Updated
- Oct 21, 2025
- License
-
DH4492 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 K 2 BUFFALO TRAILPENASCO, NM, 87553Browse NM providers · Browse ZIP 87553
- Phone
- 5752518010
- Fax
- 5752426214
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in PENASCO, NM
| Name | Credential | NPI |
|---|---|---|
| MS. LYN M. ST. LOUIS | DH | 1871586248 |
| LIZABETH L. JAMISON | RDH | 1447534318 |
| RACHEL MOORE | RDH | 1578951422 |
| ROBERTA RODRIGUEZ | — | 1356825186 |
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.