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Contact Information

EDWARD EBELL, DDS
717 5TH ST
LAS VEGAS, NM87701
 Phone: 505-425-8942
 Fax: 505-425-6191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for EDWARD EBELL · (Male)

NPI # 1265441463
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1295
  • NM Medicaid 81612
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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