Derrick Baca Dds Llc is a Dental Clinic in Grants, New Mexico. It is located at 1209 Bonita St, Grants, NM and its contact number is 505-876-4034. The authorized person for Derrick Baca Dds Llc is Dr. Derrick R Baca
who is General Dentist of the clinic and their contact number is 505-876-4034. Other organizations associated with this clinic are Patricia B. Valdivia D.d.s.,p.c., Derrick Baca Dds Llc, The primary license number for Derrick Baca Dds Llc is DD3492 (General Practice) in New Mexico.
Derrick Baca Dds Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Derrick Baca Dds Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Derrick Baca Dds Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1209 Bonita St, Grants,
New Mexico, 87020-2103 |
| Phone: | 505-876-4034 |
| Fax: | 505-876-4036 |
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: | Dr. Derrick R Baca |
| Position: | General Dentist |
| Contact Number: | 505-876-4034 |
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 Derrick Baca Dds Llc clinic are as mentioned below.
| NPI Number: | 1902214406 |
| NPI Enumeration Date: | 28 Jul, 2014 |
| NPI Last Update On: | 28 Jul, 2014 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Patricia B. Valdivia D.d.s.,p.c. | General Practice Dentistry | 1386817765 |
| Derrick Baca Dds Llc | General Practice Dentistry | 1902214406 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derrick Baca Dds Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DD3492 | New Mexico | Primary | |
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 |
| 93577389 | 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: | Derrick Baca Dds Llc
1209 Bonita St,
Grants, New Mexico |
| Zip: | 87020-2103 |
| Phone Number: | 505-876-4034 |
| Fax Number: | 505-876-4036 |
Patients can reach Derrick Baca Dds Llc at
1209 Bonita St, Grants, New Mexico or can
call to book an appointment on 505-876-4034.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.