| Summit Family Dental Of Farmington, Llc | |
|
800 E 30th St Bldg 3 Farmington NM 87401-9407 | |
| (505) 327-9161 | |
| Not Available |
| Full Name | Summit Family Dental Of Farmington, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 E 30th St Bldg 3, Farmington, New Mexico |
| Authorized Official Name and Position | Lisa Hodges (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5057872965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dental Of Farmington, Llc 6588 E Main Street Farmington NM 87402-5122 Ph: (505) 326-6800 | Summit Family Dental Of Farmington, Llc 800 E 30th St Bldg 3 Farmington NM 87401-9407 Ph: (505) 327-9161 |
| NPI Number | 1427320654 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427320654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CS00213848 (New Mexico) | Primary |
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