| Edgewood Family Dentistry | |
|
1917 Old Highway 66 Edgewood NM 87015-0000 | |
| (505) 281-0373 | |
| (505) 281-0373 |
| Full Name | Edgewood Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1917 Old Highway 66, Edgewood, New Mexico |
| Authorized Official Name and Position | Stephen L Harrington (OWNER) |
| Authorized Official Contact | 5052810373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Family Dentistry Po Box 2560 Edgewood NM 87015-2560 Ph: (505) 281-0373 | Edgewood Family Dentistry 1917 Old Highway 66 Edgewood NM 87015-0000 Ph: (505) 281-0373 |
| NPI Number | 1316917495 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316917495 | NPI | - | NPPES |
| NM1580 | Other | NM | STEVE'S NM LISC # |
| NM1625 | Other | NM | SUE'S NM LISC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NM1580 (New Mexico) | Primary |
Michael Lysonski Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1917 Old Us 66, Suite B-c-d1, Edgewood, NM 87015 Phone: 262-391-6179 | |
Zachcurriedds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1851 Old Us 66 Ste C, Edgewood, NM 87015 Phone: 505-281-0373 |