Deming Dental Services, P.a.
Organization Active NPI General Practice Dentistry · Deming, NM
NPI 1326038563 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1326038563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1072 (NM)
- Legal business name
- DEMING DENTAL SERVICES, P.A.
- Practice address
- 400 S Gold Ave
Deming, NM 88030-4159 - Phone
- (505) 546-2684
- Fax
- (505) 546-1106
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
Authorized official
- Name
- James J. O'Connell, D.D.S.
- Title
- Pres. Corp.
- Phone
- (505) 546-2684
Practitioners 1
-
Trevor A Williams, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 1072 | NM | Yes |
Addresses
Primary practice location
400 S Gold Ave
Deming, NM 88030-4159
Mailing address
400 S Gold Ave
Deming, NM 88030-4159
Phone (505) 546-2684
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4908 | Other | NM | DORAL DENTAL |
| 3145509 | Other | TN | BLUE CROSS OF TENNESSEE |
| 839147 | Other | NM | UNITED CONCORDIA |
| 008656 | Other | NM | BLUE CROSS & BLUE SHIELD |
| 86546 | Medicaid | NM |
Other providers in Deming, NM
- Victor Cruz
- Sara Davalos
- Patricia Ann Delao
- Deming Clinic Corporation
- Deming Dental and Oral Surgery Center
- Deming Emergency Physicians
- Deming Home Care Services LLC
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
All providers in Deming, 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 Aug 22, 2020. 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.