Pueblo Of Isleta Dental Clinic

LBN: Pueblo Of Isleta
Pueblo Of Isleta Dental Clinic is an health care organization with primary practice located at 01 Sagebrush Rd , Isleta NM 87022-0000. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Pueblo Of Isleta can be contacted via phone (505) 869-4863, or through Zamora, Volelle K via phone (505) 869-4094.

Contact Information

Primary practice address
01 Sagebrush Rd Isleta NM 87022-0000
Phone: (505) 869-4863
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zamora, Volelle K
Phone: (505) 869-4094

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 501C New Mexico

Profile Details

NPI number 1225158348
LBN Legal business name Pueblo Of Isleta
DBA Doing business as Pueblo Of Isleta Dental Clinic
Authorized official Zamora, Volelle K
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated May 17th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225158348 NPPES
New Mexico MEDICAID 55528309

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