| Premier Family Dental Llc | |
|
5690 Santa Teresita Dr Ste A3 Santa Teresa NM 88008-9211 | |
| (575) 332-4535 | |
| Not Available |
| Full Name | Premier Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5690 Santa Teresita Dr Ste A3, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Spencer Rogers (OWNER) |
| Authorized Official Contact | 4693963063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dental Llc 5690 Santa Teresita Dr Ste A3 Santa Teresa NM 88008-9211 Ph: (575) 332-4535 | Premier Family Dental Llc 5690 Santa Teresita Dr Ste A3 Santa Teresa NM 88008-9211 Ph: (575) 332-4535 |
| NPI Number | 1285471490 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285471490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Santa Teresa Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Livingston Loop Unit B, Santa Teresa, NM 88008 Phone: 575-332-4047 Fax: 575-332-4201 | |
Stf Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5805 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 213-200-5023 |