Animas Pediatric Dental Group
LBN: Animas Pediatric Dental Group
Animas Pediatric Dental Group is an health care organization with primary practice located at 2650 E Pinon Frontage Rd. Bldg. 200 , Farmington NM 87402-5061. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Animas Pediatric Dental Group can be contacted via phone (505) 599-9359, or through Suazo, Lawrence via phone (505) 599-9359.
Contact Information
Primary practice address
2650 E Pinon Frontage Rd. Bldg. 200
Farmington NM 87402-5061
Phone: (505) 599-9359
Fax: (505) 599-8177
Website:
Authorized official contact:
Name: Suazo, Lawrence Doctor of Dental Surgery (DDS)
Phone: (505) 599-9359
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D1997 | New Mexico |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DD1997 | New Mexico |
Profile Details
| NPI number | 1295823177 |
|---|---|
| LBN Legal business name | Animas Pediatric Dental Group |
| DBA Doing business as | |
| Authorized official | Suazo, Lawrence Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 26th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295823177 | NPPES |
| New Mexico | MEDICAID | 00076517 |
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