Naomi Lynn Amador, RDH

Individual provider Active NPI Dental Hygienist · Clovis, NM

NPI 1841839099 · NPPES record last updated Jan 4, 2020

Key facts

NPI
1841839099
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
3539 (NM)
Practice address
105 Golf Dr
Clovis, NM 88101-3145
Phone
(575) 935-4745
NPI assigned
Jan 4, 2020
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
3539NMMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3539 NM Yes

Addresses

Primary practice location

105 Golf Dr
Clovis, NM 88101-3145

Mailing address

1721 Avondale Blvd
Clovis, NM 88101-5007
Phone (575) 693-7844

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL practice

Other providers in Clovis, NM

All providers in Clovis, NM · Dental Hygienist in New Mexico

Sources for this page

Verify at the official NPI Registry.