Lisa Danelle Begay, DMD

Individual provider Active NPI Public Health Dentistry · To'Hajiilee, NM

NPI 1407260409 · NPPES record last updated Sep 2, 2020

Key facts

NPI
1407260409
Entity type
Individual (NPI type 1)
Primary specialty
Public Health Dentistry 1223D0001X
License
D008990 (AZ)
Practice address
129 Medicine Horse Dr.
To'Hajiilee, NM 87026
Phone
(505) 908-2307
NPI assigned
Jun 17, 2014
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

LicenseStateTypeSpecialty
D008990AZMDPublic Health Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X D008990 AZ Yes

Addresses

Primary practice location

129 Medicine Horse Dr.
To'Hajiilee, NM 87026

Mailing address

129 Medicine Horse Dr.
To'Hajiilee, NM 87026
Phone (505) 908-2307

Other practice location 1

9169 Coors Blvd NW
Albuquerque, NM 87120-3101
Phone (505) 346-2306

Other providers in To'Hajiilee, NM

All providers in To'Hajiilee, NM · Public Health Dentistry in New Mexico

Sources for this page

Verify at the official NPI Registry.