Hendricks Dental Group, LLC
Organization Active NPI Prosthodontics · Santa Fe, NM
NPI 1952810715 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1952810715
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 4731 (NM)
- Legal business name
- HENDRICKS DENTAL GROUP, LLC
- Practice address
- 444 Saint Michaels Dr Ste B
Santa Fe, NM 87505-7674 - Phone
- (505) 989-8749
- NPI assigned
- Sep 25, 2017
- Organization subpart
- No
Authorized official
- Name
- Virginia Hendricks
- Title
- General Manager
- Phone
- (505) 603-6220
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics |
1223P0700X | 4731 | NM | Yes |
Addresses
Primary practice location
444 Saint Michaels Dr Ste B
Santa Fe, NM 87505-7674
Mailing address
444 Saint Michaels Dr Ste B
Santa Fe, NM 87505-7674
Phone (505) 989-8749
Other providers in Santa Fe, NM
- Paul Helfrich
- Helios EMS, LLC
- Robert E. Hemmen
- Victoria Liviya Hemphill
- Vito Hemphill
- Hendricks Functional Health, LLC
- Allison Denise Hendricks
- Katharine Hope Hendricks
- Kelly Hendricks
- Kristin Wayne Hendricks
All providers in Santa Fe, NM · Prosthodontics 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 Jul 21, 2022. 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.