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Dr. Nick A Desantis
General Practice Dentistry in Gallup, New Mexico
NPI 1679606834

Nick A Desantis is a General Practice Dentistry based in Gallup, NM and is specialized in General Practice. Nick A Desantis practices in Gallup, NM. The NPI Number for Nick A Desantis is 1679606834 and holds a License No. 1345 (New Mexico).

The current practice location address for Nick A Desantis is 1801 Redrock Dr, Gallup, NM and can be reached out via phone at 505-863-4457 and via fax at 505-722-4310.

Location: 1801 Redrock Dr, Gallup, NM, 87301-5655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679606834
Provider Name
Nick A Desantis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1801 Redrock Dr, Gallup, NM, 87301-5655
Phone Number
505-863-4457
Fax Number
505-722-4310
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1801 Redrock Dr
City
Gallup
State
New Mexico
Zip
87301-5655
Phone Number
505-863-4457
Fax Number
505-722-4310
person
Provider Business Mailing Address Details
Address
1801 Redrock Dr
City
Gallup
State
New Mexico
Zip
87301-5655
Phone Number
505-863-4457
Fax Number
505-722-4310
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1345 (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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