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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 Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NEW MEXICO DENTAL CLINICS LLC

NPI Number 1013404581
LBN Legal business name NEW MEXICO DENTAL CLINICS LLC
Authorized official GEORGE HANNA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2018
Last updated 08/22/2022 - About 4 years ago
Identifiers
NM License # DD4651
NM Other DD4651 DENTAL LICENSE
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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