Four Corners Family Dental

LBN: 3501 North Butler Avenue Farmington Professional Llc
Four Corners Family Dental is an health care organization with primary practice located at 3501 N Butler Ave Ste 104 , Farmington NM 87401-6430. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 3501 North Butler Avenue Farmington Professional Llc can be contacted via phone (505) 564-4470, or through Grumbos, Peter via phone (505) 564-4470.

Contact Information

Primary practice address
3501 N Butler Ave Ste 104 Farmington NM 87401-6430
Phone: (505) 564-4470
Fax: (505) 325-9707
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Surgery (DDS)
Phone: (505) 564-4470

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1285252627
LBN Legal business name 3501 North Butler Avenue Farmington Professional Llc
DBA Doing business as Four Corners Family Dental
Authorized official Grumbos, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2020
Last updated Jul 13th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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