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Contact Information

DENTISTRYONE OF NEW MEXICO PC
1704 LLANO ST STE B-1446
SANTA FE, NM87505-5415
 Phone: 877-712-7875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for DENTISTRYONE OF NEW MEXICO PC

NPI # 1295594307
LBN Legal business name DENTISTRYONE OF NEW MEXICO PC
Authorized official DEREK WEIGAND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2024
Last updated 05/02/2025 - More than a year ago
Identifiers n/a
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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