Erica Marie Carrillo, RDH
Individual provider Active NPI Dental Hygienist · Isleta, NM
NPI 1174089692 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1174089692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH3227 (NM)
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022-3942 - Phone
- (505) 869-3200
- Fax
- (505) 869-4881
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH3227 | NM | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3227 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Street
Isleta, NM 87022-3942
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-3200
Other providers in Isleta, NM
- Natasha Abeita
- Stephanie Ruth Barela
- Attlee Becenti Benally
- Erica Leanne Carrasco
- Kaylee Briana Chavez
- Keely Justice Chavez
- Misti Marlene Chavez
- Lisa K Cherino
- Susan Stephanie Chewiwi
All providers in Isleta, NM · Dental Hygienist 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 Feb 20, 2019. 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.