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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.