| Jenna Lotz, DMD | |
| 500 N Mundo Dr, Dulce, NM 87528-5176 | |
| (575) 759-3291 | |
| (575) 759-3651 | 
| Full Name | Jenna Lotz | 
|---|---|
| Gender | Female | 
| Speciality | Dentist | 
| Location | 500 N Mundo Dr, Dulce, New Mexico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801203906 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | DD4127 (New Mexico) | Primary | 
| Entity Name | Dulce Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750388963 PECOS PAC ID: 7012991839 Enrollment ID: O20040617000747 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jenna Lotz, DMD Po Box 187, Dulce, NM 87528-0187 Ph: (575) 759-3291 | Jenna Lotz, DMD 500 N Mundo Dr, Dulce, NM 87528-5176 Ph: (575) 759-3291 | 
| Dr. Mitchell R. Wilkinson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Po Box 187, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
| Dr. Daniel Joseph Lotz, DMD Dentist Medicare: Medicare Enrolled Practice Location: 500 N Mundo Dr, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
| Dr. Joshua Greer Carney, DMD Dentist Medicare: Medicare Enrolled Practice Location: 500 N Mundo Drive, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3651 | |
| Dr. Robert Patrick Sewell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Rd, Dulce, NM 87528 Phone: 505-759-7211 |