SUNDANCE DENTAL CARE OF GALLUP , NPI 1386309870
Dentist in GALLUP, NM
Last Updated on : Nov 01,2021
About SUNDANCE DENTAL CARE OF GALLUP (NPI 1386309870)
SUNDANCE DENTAL CARE OF GALLUP (1601 2ND STREET GALLUP PROFESSIONAL, LLC) is a Dentist in GALLUP, United States with a focus in General Practice .
1386309870 is NPI number of SUNDANCE DENTAL CARE OF GALLUP.
SUNDANCE DENTAL CARE OF GALLUP's primary taxonomy code based on NPI Lookup is 1223G0001X with license number . This taxonomy code refers to Dentist.
SUNDANCE DENTAL CARE OF GALLUP current practice location address is 1601 S SECOND ST, GALLUP, NM. SUNDANCE DENTAL CARE OF GALLUP can be reached out via phone at 505-722-4422 and via fax at 505-722-2060 .
You can also correspond with SUNDANCE DENTAL CARE OF GALLUP through mail at mailing address 1601 S SECOND ST, GALLUP, NM, United States. Mailing address contact number is 505-722-4422.
The enumeration date of SUNDANCE DENTAL CARE OF GALLUP is 01-Nov-2021. The provider is registered as an Organization and the NPI record was last updated 2 years ago. The authorized official of SUNDANCE DENTAL CARE OF GALLUP is PETER GRMBOS (Owner/Dentist). PETER GRMBOS can be reached at 5057224422.1386309870 NPI Information
Basic NPI information of SUNDANCE DENTAL CARE OF GALLUP (NPI 1386309870) is provided below.
| Name | SUNDANCE DENTAL CARE OF GALLUP |
|---|---|
| National Provider Id (NPI) | 1386309870 |
| Entity Type | Organization |
| Practice Address | 1601 S SECOND ST,
GALLUP, NM, United States |
| Practice Telephone | 505-722-4422 |
| Practice Fax Number | 505-722-2060 |
| Mailing Address | 1601 S SECOND ST ,
GALLUP, NM, United States |
| Mailing Telephone | 505-722-4422 |
| Mailing Fax Number | 505-722-2060 |
| Enumeration Date | 01-Nov-2021 |
| Last Updated Date | 01-Nov-2021 |
SUNDANCE DENTAL CARE OF GALLUP (NPI 1386309870) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | Dentist, General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
SUNDANCE DENTAL CARE OF GALLUP (NPI 1386309870) Office Location
Office location of SUNDANCE DENTAL CARE OF GALLUP is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1386309870 | 1601 2ND STREET GALLUP PROFESSIONAL, LLC | Dentist, General Practice | 1601 S SECOND ST,
GALLUP, NM, United States |
01-Nov-2021 |
| 1356820419 | 3720 CHURCH ROCK STREET OPERATIONS LLC | Skilled Nursing Facility | 101 E STATE ST,
KENNETT SQUARE, PA, United States |
09-Aug-2018 |
| 1932737798 | 5 STAR MED TRANS | Non-emergency Medical Transport (VAN) | 501 S 48TH ST STE 114,
TEMPE, AZ, United States |
28-Mar-2020 |
| 1598113425 | AANGELS ARMS PERSONAL CARE SERVICE LLC | In Home Supportive Care | PO BOX 3910,
GALLUP, NM, United States |
01-Jun-2016 |
| 1790009942 | TERESA ALLMAN AARON | Registered Nurse | 516 NIZHONI BLVD,
GALLUP, NM, United States |
17-Mar-2010 |
| 1356603427 | TINA M. ABBOTT | Registered Nurse | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
13-Jun-2012 |
| 1356604755 | SOPHIA ABDULRAZZAK ABDULHAI | Surgery | 250 N SHADELAND AVE,
INDIANAPOLIS, IN, United States |
20-Jun-2012 |
| 1609197409 | KATERI L ABEITA | Registered Nurse | PO BOX 1337,
GALLUP, NM, United States |
15-Jun-2010 |
| 1881889327 | MERRIAM LYNN ABEITA | Registered Nurse | PO BOX 1337,
GALLUP, NM, United States |
07-Sep-2007 |
| 1407514037 | DAVID ABELES | Registered Nurse, Emergency | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
01-Dec-2021 |
| 1891442711 | VICTOR ABRAMSKY | Registered Nurse | 900 NE 12TH AVE APT 306,
HALLANDALE BEACH, FL, United States |
10-Mar-2022 |
| 1003375783 | JODY MARIE ACORD | Registered Nurse | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
13-Mar-2019 |
| 1861941213 | GIANINNA KARINELL ACOSTA | Registered Nurse | 516 E NIZHONI BLVD,
PO BOX 1337 GALLUP, NM, United States |
27-Sep-2016 |
| 1871964940 | ROBIN ACOTHLEY | Registered Nurse | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
14-Oct-2015 |
| 1104584903 | ASHLEY ADDINGTON | Specialist/Technologist, Other, Surgical Technologist | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
30-Nov-2021 |
| 1497733810 | OLADIPO A ADENIYI | Internal Medicine, Nephrology | 1801 REDROCK DR,
GALLUP, NM, United States |
05-Jan-2006 |
| 1780140251 | MICKI LYNN ADKINS | Registered Nurse | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
20-Feb-2019 |
| 1417621103 | SHOGHI ARREY AGBORTOKO | Pharmacist | 516 E NIZHONI BLVD,
GALLUP, NM, United States |
05-Aug-2021 |
| 1710965272 | CARMELITA AGODON | Anesthesiology, Pain Medicine | 1901 REDROCK DR,
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM, United States |
05-Jan-2006 |
| 1518206523 | CALANDRA AHASTEEN | Registered Nurse | PO BOX 1337,
GALLUP, NM, United States |
11-Feb-2013 |
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FAQs
Whose NPI Number is 1386309870?1386309870 is the NPI number of SUNDANCE DENTAL CARE OF GALLUP.
Where is SUNDANCE DENTAL CARE OF GALLUP located?SUNDANCE DENTAL CARE OF GALLUP is located at 1601 S SECOND ST, GALLUP, NM.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|