Sundance Dental Care of Bloomfield, LLC.
Organization Active NPI General Practice Dentistry · Bloomfield, NM
NPI 1023344181 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1023344181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DD2287 (NM)
- Legal business name
- SUNDANCE DENTAL CARE OF BLOOMFIELD, LLC.
- Practice address
- 100 South First Street
Bloomfield, NM 87413 - Phone
- (505) 632-3344
- NPI assigned
- Oct 26, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Tornow
- Title
- Dentist/Owner
- Phone
- (505) 326-6800
Practitioners 5
-
Alex Wah Yuen, DDS
-
Oghenejiro Akpobome, DDS
-
Jordan Chase Morris, DMD
-
Lauren Fangman Schau, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DD2287 | NM | Yes |
Addresses
Primary practice location
100 South First Street
Bloomfield, NM 87413
Mailing address
6588 E Main St
Farmington, NM 87402-5122
Phone (505) 326-6800
Other providers in Bloomfield, NM
- Sadie L Smith-McDaniel
- Bunny Leigh Smith
- Shane Allen Spacek
- Deeann Stotz
- William Albert Stotz
- Christopher D Swagerty
- Terry L Thomas
- Jere Nell Tyler
- Michelle Warner
- Barbara Wheeler
All providers in Bloomfield, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.