Sundance Dental Care Of Gallup is a Dental Clinic in Gallup, New Mexico. It is located at 1601 S Second St, Gallup, NM and its contact number is 505-722-4422. The authorized person for Sundance Dental Care Of Gallup is Dr. Bruce B Shaheen
who is Dentist/owner of the clinic and their contact number is 505-722-4422. Other organizations associated with this clinic are Sundance Dental Care Of Gallup, 1601 2nd Street Gallup Professional, Llc, The primary license number for Sundance Dental Care Of Gallup is DD3503 (General Practice) in New Mexico.
Sundance Dental Care Of Gallup 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:
Sundance Dental Care Of Gallup Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Sundance Dental Care Of Gallup |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1601 S Second St, Gallup,
New Mexico, 87301-5816 |
| Phone: | 505-722-4422 |
| Fax: | 505-722-2060 |
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. Bruce B Shaheen |
| Position: | Dentist/owner |
| Contact Number: | 505-722-4422 |
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 Sundance Dental Care Of Gallup clinic are as mentioned below.
| NPI Number: | 1235406927 |
| NPI Enumeration Date: | 23 Nov, 2011 |
| NPI Last Update On: | 14 Dec, 2016 |
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 |
| Sundance Dental Care Of Gallup | General Practice Dentistry | 1235406927 |
| 1601 2nd Street Gallup Professional, Llc | General Practice Dentistry | 1386309870 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sundance Dental Care Of Gallup are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DD3503 | 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 |
| 97524239 | 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: | Sundance Dental Care Of Gallup
1601 S Second St,
Gallup, New Mexico |
| Zip: | 87301-5816 |
| Phone Number: | 505-722-4422 |
| Fax Number: | 505-722-2060 |
Patients can reach Sundance Dental Care Of Gallup at
1601 S Second St, Gallup, New Mexico or can
call to book an appointment on 505-722-4422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.