Theresa A Ulibarri
Individual provider Active NPI Dental Hygienist · Cebolla, NM
NPI 1255273124 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1255273124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH3888 (NM)
- Practice address
- PO Box 221
Cebolla, NM 87518-0221 - Phone
- (505) 620-0394
- NPI assigned
- Apr 8, 2026
- Sex
- Male
- 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 |
|---|---|---|---|
| DH3888 | NM | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3888 | NM | Yes |
Addresses
Primary practice location
PO Box 221
Cebolla, NM 87518-0221
Mailing address
PO Box 221
Cebolla, NM 87518-0221
Phone (505) 620-0394
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. 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.