Angel Fire Family Dentistry PC

Organization Active NPI General Practice Dentistry · Angel Fire, NM

NPI 1972770071 · NPPES record last updated May 8, 2008

Key facts

NPI
1972770071
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ANGEL FIRE FAMILY DENTISTRY PC
Practice address
27479 Hwy 64
Angel Fire, NM 87710
Phone
(575) 377-1383
Fax
(575) 377-1383
NPI assigned
May 8, 2008
Organization subpart
No

Authorized official

Name
Mr. Strider Aragorn McCash, DDS
Title
Owner
Phone
(575) 377-1383

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

27479 Hwy 64
Angel Fire, NM 87710

Mailing address

HCR 71 Box 85
Eagle Nest, NM 87718
Phone (575) 377-1383

Other providers in Angel Fire, NM

All providers in Angel Fire, NM · General Practice Dentistry in New Mexico

Sources for this page

Verify at the official NPI Registry.