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Edgewood Family Dentistry
General Practice Dentistry in Edgewood, New Mexico
NPI 1316917495

Edgewood Family Dentistry is a General Practice Dentistry based in Edgewood, NM and is specialized in General Practice. Edgewood Family Dentistry practices in Edgewood, NM. The NPI Number for Edgewood Family Dentistry is 1316917495 and holds a License No. NM1580 (New Mexico).

The current practice location address for Edgewood Family Dentistry is 1917 Old Highway 66, Edgewood, NM and can be reached out via phone at 505-281-0373 and via fax at 505-281-0373.

Location: 1917 Old Highway 66, Edgewood, NM, 87015-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316917495
Provider Name
Edgewood Family Dentistry
Credential
Provider Entity Type
Organization
Address
1917 Old Highway 66, Edgewood, NM, 87015-2560
Phone Number
505-281-0373
Fax Number
505-281-0373
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM1580 01 NM STEVE'S NM LISC #
NM1625 01 NM SUE'S NM LISC #
institution
Provider Business Practice Location Address Details
Address
1917 Old Highway 66
City
Edgewood
State
New Mexico
Zip
87015-0000
Phone Number
505-281-0373
Fax Number
505-281-0373
person
Provider Business Mailing Address Details
Address
1917 Old Highway 66
City
Edgewood
State
New Mexico
Zip
87015-0000
Phone Number
505-281-0373
Fax Number
505-281-0373
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
NM1580 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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