Velma M. Smith, D.A.

Individual provider Active NPI Dental Assistant · Tohatchi, NM

NPI 1508016254 · NPPES record last updated Sep 30, 2008

Key facts

NPI
1508016254
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
Practice address
07 Choosgai Drive
Tohatchi, NM 87325
Phone
(505) 733-8440
Fax
(505) 733-8239
NPI assigned
Sep 30, 2008
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Yes

Addresses

Primary practice location

07 Choosgai Drive
Tohatchi, NM 87325

Mailing address

PO Box 1337
Gallup, NM 87305-1337
Phone (505) 733-8440

Other providers in Tohatchi, NM

All providers in Tohatchi, NM · Dental Assistant in New Mexico

Sources for this page

Verify at the official NPI Registry.