Orthodental Pc

LBN: Orthodental Pc
Orthodental Pc is an health care organization with primary practice located at 1748 W Maloney Ave , Gallup NM 87301-3333. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Orthodental Pc can be contacted via phone (505) 863-8100, or through Wilson, Joseph A via phone (505) 325-8858.

Contact Information

Primary practice address
1748 W Maloney Ave Gallup NM 87301-3333
Phone: (505) 863-8100
Fax: (505) 863-8064
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Joseph A DMD, MSD
Phone: (505) 325-8858

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD3399 New Mexico
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DD3399 New Mexico

Profile Details

NPI number 1750622072
LBN Legal business name Orthodental Pc
DBA Doing business as
Authorized official Wilson, Joseph A DMD, MSD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2013
Last updated Mar 12th, 2013 - about 13 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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