| Dentistry Divine Smile, Inc. | |
|
119 N 8th St Deming NM 88030-3410 | |
| (575) 544-8381 | |
| (575) 546-0410 |
| Full Name | Dentistry Divine Smile, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 119 N 8th St, Deming, New Mexico |
| Authorized Official Name and Position | Richard Argant (PRESIDENT) |
| Authorized Official Contact | 5755448381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Divine Smile, Inc. 119 N 8th St Deming NM 88030-3410 Ph: (575) 544-8381 | Dentistry Divine Smile, Inc. 119 N 8th St Deming NM 88030-3410 Ph: (575) 544-8381 |
| NPI Number | 1265766927 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 7214279595 |
|---|---|
| Medicare Enrollment ID | O20190507002184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265766927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard Argant |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932295193 PECOS PAC ID: 2264736032 Enrollment ID: I20190507002281 |
| Provider Name | Raymond Cros |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134261001 PECOS PAC ID: 7517213317 Enrollment ID: I20190719002191 |
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