Verna Deal
Individual provider Active NPI Dental Hygienist · T Or C, NM
NPI 1306037635 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1306037635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH1067 (NM)
- Practice address
- 1960 N Date St
T Or C, NM 87901-3701 - Phone
- (505) 894-7662
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DH1067 | NM | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH1067 | NM | Yes |
Addresses
Primary practice location
1960 N Date St
T Or C, NM 87901-3701
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (505) 267-3286
Other providers in T Or C, NM
- Guillermina Castillo
- Rebecca G. Castillo
- James Daily
- Lisa Daniel
- Candace Davis
- Desert Rain Therapy, LLC
- Mario Joseph Digesu Jr.
- Alexis V Diorio
- Katharine May Elverum
- Patrick Ercolino
All providers in T Or C, 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 Aug 1, 2007. 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.