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Contact Information

SOUTHERN NEW MEXICO DENTAL GROUP PC
2455 S. TELSHOR
LAS CRUCES, NM88011
 Phone: 575-522-0454
 Fax: 575-522-3472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SOUTHERN NEW MEXICO DENTAL GROUP PC

NPI Number 1174956676
LBN Legal business name SOUTHERN NEW MEXICO DENTAL GROUP PC
Authorized official ROBERTO ESPINEZA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2013
Last updated 11/20/2020 - About 6 years ago
Identifiers
NM License # DD3462
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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