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Contact Information

HERO DENTAL OF SANTA FE PC
2027 CERRILLOS RD
SANTA FE, NM87505-3269
 Phone: 505-820-1212
 Fax: 505-820-1218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for HERO DENTAL OF SANTA FE PC

NPI # 1033407846
LBN Legal business name HERO DENTAL OF SANTA FE PC
Authorized official SHAUN URBANOZO - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2011
Last updated 09/09/2025 - About 9 months ago
Identifiers
NM Medicaid 61352721
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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