is a Dental Clinic in Los Alamos, New Mexico. It is located at 111 Longview Drive, Suite B3, Los Alamos, NM and its contact number is 505-672-2020. The authorized person for is Dr. Ellen Vandergust Ballard
who is President Wildwind Dental of the clinic and their contact number is 505-672-2020. The primary license number for is 1668 (Dentist) in New Mexico. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
111 Longview Drive, Suite B3, Los Alamos, New Mexico, 87544
Phone:
505-672-2020
Fax:
505-672-2020
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. Ellen Vandergust Ballard
Position:
President Wildwind Dental
Contact Number:
505-672-2020
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 clinic are as mentioned below.
NPI Number:
1629290283
NPI Enumeration Date:
03 May, 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 are as mentioned below.
Specialization
License Number
State
Status
Dentist
1668
New Mexico
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
203 Rio Bravo, Los Alamos, New Mexico
Zip:
87544
Phone Number:
505-920-1065
Fax Number:
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Patients can reach at 111 Longview Drive, Suite B3, Los Alamos, New Mexico or can call to book an appointment on 505-672-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.