| Carabelli Dental | |
|
824 N Main St Roswell NM 88201-4969 | |
| (575) 622-4455 | |
| Not Available |
| Full Name | Carabelli Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 824 N Main St, Roswell, New Mexico |
| Authorized Official Name and Position | Keon Ahghar (SOLE OWNER) |
| Authorized Official Contact | 5055531332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carabelli Dental 824 N Main St Roswell NM 88201-4969 Ph: (575) 622-4455 | Carabelli Dental 824 N Main St Roswell NM 88201-4969 Ph: (575) 622-4455 |
| NPI Number | 1437654837 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 0446683528 |
|---|---|
| Medicare Enrollment ID | O20191203002060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437654837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD4275 (New Mexico) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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