B Joe Aday, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Las Cruces, NM
NPI 1376656637 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376656637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 1186 (NM)
- Practice address
- 2701 Missouri Ave Ste D
Las Cruces, NM 88011-5091 - Phone
- (505) 522-1500
- Fax
- (505) 521-1529
- NPI assigned
- Aug 17, 2006
- 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 |
|---|---|---|---|
| 1186 | NM | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1186 | NM | Yes |
Addresses
Primary practice location
2701 Missouri Ave Ste D
Las Cruces, NM 88011-5091
Mailing address
2701 Missouri Ave Ste D
Las Cruces, NM 88011-5091
Phone (505) 522-1500
Other providers in Las Cruces, NM
- Naketa Adams
- Robert Francis Adams
- Steven Noel Adams
- Theresa B Adams
- Aday Orthodontics, PC
- James Bradley Aday
- Kwasi Addae-Mensah
- Addari Family Medicine LLC
- Sandra Addari
- Hanan Addi
All providers in Las Cruces, NM · Orthodontics and Dentofacial Orthopedics 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 Jul 8, 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.