Alfred Matthew Macaltao
Individual provider Active NPI Dental Hygienist · Crownpoint, NM
NPI 1699299693 · NPPES record last updated Aug 1, 2017
Key facts
- NPI
- 1699299693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 025404 (NY)
- Practice address
- Junction of Highway 371 Navajo Route 9
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- NPI assigned
- Aug 1, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 025404 | NY | Yes |
Addresses
Primary practice location
Junction of Highway 371 Navajo Route 9
Crownpoint, NM 87313-0358
Mailing address
22 N San Mateo Dr Apt 107
San Mateo, CA 94401-2804
Phone (917) 697-1269
Other providers in Crownpoint, NM
- Shirley Lee
- Maria A Leon-Gandara
- Matthew Liaw
- Christopher Looney
- Elizabeth Lynch
- Monika Rae Martinez
- Charles Elias Matli
- Shawn McHenry
- Dakota McMurray
- Beau Morgan
All providers in Crownpoint, NM · Dental Hygienist 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 1, 2017. 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.