National Provider Identifier Database

NEW MEXICO DENTAL CLINICS LLC
Customized Equipment


Contact Information

NEW MEXICO DENTAL CLINICS LLC
1594 SARA RD SE STE C
RIO RANCHO, NM87124
Phone: 866-851-6236
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for NEW MEXICO DENTAL CLINICS LLC

NPI Number 1013404581
Legal business name
LBN
NEW MEXICO DENTAL CLINICS LLC
Authorized official GEORGE HANNA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/19/2018
Last updated 08/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: DD4651
  • NM Other: DD4651 DENTAL LICENSE

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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