| Northern New Mexico Periodontal Assoc. | |
|
318 Grant Ave Santa Fe NM 87501-1933 | |
| (505) 988-8822 | |
| (505) 988-8824 |
| Full Name | Northern New Mexico Periodontal Assoc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 318 Grant Ave, Santa Fe, New Mexico |
| Authorized Official Name and Position | William Dean Parker (PRESIDENT) |
| Authorized Official Contact | 5059888822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern New Mexico Periodontal Assoc. 318 Grant Ave Santa Fe NM 87501-1933 Ph: (505) 988-8822 | Northern New Mexico Periodontal Assoc. 318 Grant Ave Santa Fe NM 87501-1933 Ph: (505) 988-8822 |
| NPI Number | 1043371842 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043371842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DD1125 (New Mexico) | Primary |
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Adventure Dental, Vision And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2027 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-820-1212 Fax: 505-820-1218 | |
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St. Michael's Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 Saint Michaels Dr, Suite B, Santa Fe, NM 87505 Phone: 217-540-5100 | |
Jensen Dental And Assocates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1496 S Saint Francis Dr, Santa Fe, NM 87505 Phone: 505-982-4317 Fax: 505-982-8663 | |
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