Denta Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTA DENTAL LLC

Practice address

3313 N Grimes St
Hobbs, NM 88240-1219

Phone

(575) 392-4290

Fax

(575) 392-1982

NPI assigned

Oct 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Loi Ta, DDSNPI 1912491218

Title

President

Phone

(901) 606-2355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Denta Dental of Hobbs Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loi Ta, DDS

  • Dentist
  • Odessa, TX
  • NPI 1912491218
  NPD (past) Authorized official
• Son Nguyen, DDS

  • Dentist
  • Denver, CO
  • NPI 1942871827
  NPD
• Lawrence Alan Tuttle, DDS

  • General Practice Dentistry
  • Hobbs, NM
  • NPI 1790796092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1003532599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 N GRIMES ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882401219",
            "telephone_number": "575-392-4290",
            "fax_number": "575-392-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 N GRIMES ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882401219",
            "telephone_number": "575-392-4290",
            "fax_number": "575-392-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "LOI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-606-2355",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI I",
            "identifier": "1912491218",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denta Dental of Hobbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Del & Associates Nursing Service, Inc.
• Crystal Deleon
• Lizeth Delgado
• Lance Kennedy Delong, CFNP
• Jessica Dennett
• Desert Functional Medicine & Aesthetics, LLC
• Desert Medical Group LLC
• Desert Springs Health Facilities LP
• Desert Springs Healthcare LLC
• Bryana Diaz

• Dentist in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.