Devon Denise Fox, RDH
Individual provider Active NPI Dental Hygienist · Mora, NM
NPI 1851768584 · NPPES record last updated Aug 28, 2015
Key facts
- NPI
- 1851768584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2733 (NM)
- Practice address
- State Hwy 518, MM 26
Mora, NM 87732-0209 - Phone
- (575) 387-2481
- Fax
- (575) 387-9149
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2733 | NM | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mora Valley Community Health Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2733 | NM | Yes |
Addresses
Primary practice location
State Hwy 518, MM 26
Mora, NM 87732-0209
Mailing address
PO Box 209
State Hwy 518, MM 26
Mora, NM 87732-0209
Phone (575) 387-2481
Other providers in Mora, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2015. 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.