| Dds Catalyst Country Club Llc | |
|
6588 E. Main St. Farmington NM 87402 | |
| (505) 326-6800 | |
| (505) 326-6809 |
| Full Name | Dds Catalyst Country Club Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6588 E. Main St., Farmington, New Mexico |
| Authorized Official Name and Position | Andrew Ashby (OWNER) |
| Authorized Official Contact | 5053266800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dds Catalyst Country Club Llc 6588 E. Main St. Farmington NM 87402 Ph: (505) 326-6800 | Dds Catalyst Country Club Llc 6588 E. Main St. Farmington NM 87402 Ph: (505) 326-6800 |
| NPI Number | 1255445706 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 04/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255445706 | NPI | - | NPPES |
| 164051 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr. Jack O. Smalley Dss Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 E Pinon Frontage Rd Bldg 300, Farmington, NM 87402 Phone: 505-327-3331 Fax: 505-327-0873 | |
Dr. Jack Smalley D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 N Butler Ave, Farmington, NM 87401 Phone: 505-327-3331 Fax: 505-327-0873 | |
Dental Studio On 30th Street Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E 30th St, Farmington, NM 87401 Phone: 505-325-8858 | |
San Juan Oral & Facial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2990 E Pinon Frontage Rd Ste 102, Farmington, NM 87402 Phone: 505-333-8635 Fax: 505-258-4909 | |
Ncdi - Animas Professional, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 E Pinon Frontage Rd, Bldg #200, Farmington, NM 87402 Phone: 505-599-9359 | |
Beckland Dental Kids Of Farmington Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Beckland Dr, Farmington, NM 87402 Phone: 505-436-2735 Fax: 505-436-2735 | |
James R Cole D.d.s.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E 30th St Bldg 1, Farmington, NM 87401 Phone: 505-327-0441 Fax: 505-324-9473 |