Animas Pediatric Dental Group is a Pediatric Dental Clinic in Farmington, New Mexico. It is located at 2650 E Pinon Frontage Rd. Bldg. 200, Farmington, NM and its contact number is 505-599-9359. The authorized person for Animas Pediatric Dental Group is Lawrence Suazo
who is Owner of the clinic and their contact number is 505-599-9359. The primary license number for Animas Pediatric Dental Group is D1997 (Pediatric Dentistry) in New Mexico. Animas Pediatric Dental Group Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Animas Pediatric Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Animas Pediatric Dental Group
Specialization:
Pediatric Dentistry
Clinic Address:
2650 E Pinon Frontage Rd. Bldg. 200, Farmington, New Mexico, 87402-5061
Phone:
505-599-9359
Fax:
505-599-8177
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lawrence Suazo
Position:
Owner
Contact Number:
505-599-9359
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Animas Pediatric Dental Group clinic are as mentioned below.
NPI Number:
1295823177
NPI Enumeration Date:
10 Oct, 2006
NPI Last Update On:
26 Nov, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Animas Pediatric Dental Group are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
D1997
New Mexico
Primary
Pediatric Dentistry
DD1997
New Mexico
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00076517
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Animas Pediatric Dental Group 2650 E Pinon Frontage Rd. Bldg. 200, Farmington, New Mexico
Zip:
87402-5061
Phone Number:
505-599-9359
Fax Number:
505-599-8177
Patients can reach Animas Pediatric Dental Group at 2650 E Pinon Frontage Rd. Bldg. 200, Farmington, New Mexico or can call to book an appointment on 505-599-9359. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.