Beckland Dental Kids Of Farmington Llc

LBN: Beckland Dental Kids Of Farmington Llc
Beckland Dental Kids Of Farmington Llc is an health care organization with primary practice located at 3903 Beckland Dr , Farmington NM 87402-4701. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Beckland Dental Kids Of Farmington Llc can be contacted via phone (505) 436-2735, or through Hodges, Lisa via phone (505) 787-2965.

Contact Information

Primary practice address
3903 Beckland Dr Farmington NM 87402-4701
Phone: (505) 436-2735
Fax: (505) 436-2735
Website:
Map and Directions
Authorized official contact:
Name: Hodges, Lisa
Phone: (505) 787-2965

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD2872 New Mexico
Dental Providers / General Practice 1223G0001X DD3385 New Mexico

Profile Details

NPI number 1104377811
LBN Legal business name Beckland Dental Kids Of Farmington Llc
DBA Doing business as
Authorized official Hodges, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2016
Last updated Oct 15th, 2020 - about 6 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 1104377811 NPPES
New Mexico MEDICAID 99183064

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