Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JO BACA
ActiveAMANDA JO BACA is a Dental Hygienist healthcare provider located in GRANTS, New Mexico. NPI 1679442669 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · GRANTS, NM
Registration Details
- NPI Number
- 1679442669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2025 (0.6447880335411 yrs)
- Last Updated
- Oct 30, 2025
- License
-
DH2920 (NM)
Practice Information
- Address
-
710 E SANTA FEGRANTS, NM, 870203926Browse NM providers · Browse ZIP 87020
- Phone
- 5053506046
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.