DENTISTRY ON ST. MICHAELS LLC – NPI #1376710483
Clinic/Center

DENTISTRY ON ST. MICHAELS LLC is an AHC clinic located in SANTA FE, NM. NPPES has assigned the NPI number 1376710483 to DENTISTRY ON ST. MICHAELS LLC on May 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SANTA FE PLACE DENTAL PRACTICE LLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 7 years ago on Apr 30, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENTISTRY ON ST. MICHAELS LLC below.

NPI Profile for
DENTISTRY ON ST. MICHAELS LLC

NPI Number
1376710483
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DENTISTRY ON ST. MICHAELS LLC
Former Legal Business Name: SANTA FE PLACE DENTAL PRACTICE LLC
Primary location
435 SAINT MICHAELS DR STE B201
SANTA FE, NM 87505-7681
Phone: (505) 982-4867 Fax: (505) 424-8535
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTINE GARRIS
SENIOR PRACTICE MANAGER
Phone: (505) 982-4867
Updated
Identifiers

Identifiers for DENTISTRY ON ST. MICHAELS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERUNITED CONCORDIANM183394
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.