Wildwind Dental 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 Wildwind Dental 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 Wildwind Dental is 1668 (Dentist) in New Mexico.
Wildwind Dental 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:
Wildwind Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Wildwind Dental |
| 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 Wildwind Dental 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 Wildwind Dental 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: | Wildwind Dental 203 Rio Bravo, Los Alamos, New Mexico |
| Zip: | 87544 |
| Phone Number: | 505-920-1065 |
| Fax Number: | -- |
Patients can reach Wildwind Dental at
111 Longview Drive, Suite B3, Los Alamos, New Mexico or can
call to book an appointment on 505-672-2020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.