| Desert Hills Dental Group | |
|
2525 E 30th St Farmington NM 87401-4503 | |
| (505) 327-4863 | |
| (505) 327-5394 |
| Full Name | Desert Hills Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 E 30th St, Farmington, New Mexico |
| Authorized Official Name and Position | Charles Mellen Schumacher (OWNER) |
| Authorized Official Contact | 5053274863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Hills Dental Group 2525 E 30th St Farmington NM 87401-4503 Ph: (505) 327-4863 | Desert Hills Dental Group 2525 E 30th St Farmington NM 87401-4503 Ph: (505) 327-4863 |
| NPI Number | 1659387090 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659387090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1586 (New Mexico) | Primary |
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