Sundance Dental Care Of Rio Rancho, Llc
LBN: Sundance Dental Care Of Rio Rancho, Llc
Sundance Dental Care Of Rio Rancho, Llc is an health care organization with primary practice located at 770 Broadmoor Blvd Ne , Rio Rancho NM 87124. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Sundance Dental Care Of Rio Rancho, Llc can be contacted via phone (505) 891-0554, or through Brown, Michelle via phone (505) 326-6800.
Contact Information
Primary practice address
770 Broadmoor Blvd Ne
Rio Rancho NM 87124
Phone: (505) 891-0554
Fax: (505) 891-0552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD2287 | New Mexico |
| Dental Providers / Dentist | 122300000X | DD2872 | New Mexico |
| Dental Providers / Dentist | 122300000X | DD3016 | New Mexico |
Profile Details
| NPI number | 1164725503 |
|---|---|
| LBN Legal business name | Sundance Dental Care Of Rio Rancho, Llc |
| DBA Doing business as | |
| Authorized official | Brown, Michelle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2010 |
| Last updated | Jun 17th, 2014 - about 10 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 | 1164725503 | NPPES |
| New Mexico | MEDICAID | 1093982027 | |
| New Mexico | MEDICAID | 1447415849 | |
| New Mexico | MEDICAID | 1578721718 | |
| New Mexico | MEDICAID | 1316070303 | |
| New Mexico | MEDICAID | 1659369700 | |
| New Mexico | MEDICAID | 1437146768 |
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