Divine Dental Centre is a Dental Clinic in Las Vegas, New Mexico. It is located at 925 Mills Ave, Las Vegas, NM and its contact number is 505-454-8483. The authorized person for Divine Dental Centre is Dr. Esmael Robert Valdez
who is Owner of the clinic and their contact number is 505-454-8483. The primary license number for Divine Dental Centre is DD2351 (General Practice) in New Mexico. Divine Dental Centre 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:
Divine Dental Centre Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Divine Dental Centre
Specialization:
General Practice Dentistry
Clinic Address:
925 Mills Ave, Las Vegas, New Mexico, 87701-4047
Phone:
505-454-8483
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. Esmael Robert Valdez
Position:
Owner
Contact Number:
505-454-8483
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 Divine Dental Centre clinic are as mentioned below.
NPI Number:
1164547204
NPI Enumeration Date:
20 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divine Dental Centre are as mentioned below.
Specialization
License Number
State
Status
General Practice
DD2351
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
44456310
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:
Divine Dental Centre 925 Mills Ave, Las Vegas, New Mexico
Zip:
87701-4047
Phone Number:
505-454-8483
Patients can reach Divine Dental Centre at 925 Mills Ave, Las Vegas, New Mexico or can call to book an appointment on 505-454-8483. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.