| Lea County Dental | |
|
701 N Main Ave Lovington NM 88260-3417 | |
| (408) 306-8365 | |
| Not Available |
| Full Name | Lea County Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 N Main Ave, Lovington, New Mexico |
| Authorized Official Name and Position | Nishanth Reddy Puchalapalli (DENTIST) |
| Authorized Official Contact | 4083068365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lea County Dental 701 N Main Ave Lovington NM 88260-3417 Ph: (408) 306-8365 | Lea County Dental 701 N Main Ave Lovington NM 88260-3417 Ph: (408) 306-8365 |
| NPI Number | 1679931356 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679931356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |