Angel Fire Dental Corp
Organization Active NPI Dental Clinic/Center · Angel Fire, NM
NPI 1346802188 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1346802188
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ANGEL FIRE DENTAL CORP
- Practice address
- 27479 Hwy 64
Angel Fire, NM 87710 - Phone
- (575) 214-4369
- NPI assigned
- Jul 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Timothy Doolin, DMD
- Title
- President
- Phone
- (575) 214-4369
Practitioners 1
-
Timothy Doolin, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
27479 Hwy 64
Angel Fire, NM 87710
Mailing address
PO Box 1953
Taos, NM 87571-1953
Other providers in Angel Fire, NM
- Angel Fire Family Dentistry PC
- Angel Fire Primary Care
- Bestcare Pharmacy Angel Fire LLC
- Marc Comtois
- Kyle Deisig
All providers in Angel Fire, NM · Dental Clinic/Center 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 Jul 2, 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.