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

DERRICK BACA DDS LLC

Active Organization

DERRICK BACA DDS LLC is a General Dentistry organization located in GRANTS, New Mexico. NPI 1902214406 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GRANTS, NM

Registration Details

NPI Number
1902214406
Provider Type
Organization
NPI Issued
Jul 28, 2014 (12.056007801083 yrs)
Last Updated
Jul 28, 2014
License
DD3492 (NM)

Practice Information

Address
1209 BONITA ST
GRANTS, NM, 870202103
Browse NM providers · Browse ZIP 87020
Phone
5058764034
Fax
5058764036
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in GRANTS, NM

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.