| Smilemaker Dental Inc. | |
|
501 S Main Ave Aztec NM 87410-2247 | |
| (505) 334-6116 | |
| Not Available |
| Full Name | Smilemaker Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 S Main Ave, Aztec, New Mexico |
| Authorized Official Name and Position | Douglas D. Parks (PRESIDENT) |
| Authorized Official Contact | 5053346116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilemaker Dental Inc. 501 S Main Ave Aztec NM 87410-2247 Ph: (505) 334-6116 | Smilemaker Dental Inc. 501 S Main Ave Aztec NM 87410-2247 Ph: (505) 334-6116 |
| NPI Number | 1679507859 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679507859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD 1903 (New Mexico) | Primary |
Aztec Family Dental Care, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 S Main Ave, Aztec, NM 87410 Phone: 505-334-9453 Fax: 505-334-9454 |