Farmington Endodontics, PC
Organization Active NPI Endodontics · Farmington, NM
NPI 1700907995 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1700907995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- DD2551 (NM)
- Legal business name
- FARMINGTON ENDODONTICS, PC
- Practice address
- 708 E 20TH St
Farmington, NM 87401-4205 - Phone
- (505) 793-4976
- Fax
- (505) 327-6156
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Deann Risher
- Title
- Office Manager
- Phone
- (505) 793-4976
Practitioners 2
-
Robert Allen Carl, D.D.S.
-
Phillip Rex Dunn, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | DD2551 | NM | Yes |
Addresses
Primary practice location
708 E 20TH St
Farmington, NM 87401-4205
Mailing address
PO Box 2932
Farmington, NM 87499-2932
Phone (505) 793-4976
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.