Summit Family Dental Of Kirtland, Llc is a Dental Clinic in Kirtland, New Mexico. It is located at #3 Cr 6523, Kirtland, NM and its contact number is 505-598-6800. The authorized person for Summit Family Dental Of Kirtland, Llc is Dr. Cody B Coleman
who is Owner of the clinic and their contact number is 505-598-6800. The primary license number for Summit Family Dental Of Kirtland, Llc is DD2872 (General Practice) in New Mexico.
Summit Family Dental Of Kirtland, 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:
Summit Family Dental Of Kirtland, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Summit Family Dental Of Kirtland, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | #3 Cr 6523, Kirtland,
New Mexico, 87417 |
| Phone: | 505-598-6800 |
| Fax: | 505-598-6830 |
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. Cody B Coleman |
| Position: | Owner |
| Contact Number: | 505-598-6800 |
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 Summit Family Dental Of Kirtland, Llc clinic are as mentioned below.
| NPI Number: | 1710215439 |
| NPI Enumeration Date: | 19 Nov, 2009 |
| NPI Last Update On: | 30 Sep, 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 Summit Family Dental Of Kirtland, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DD2872 | 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 |
| 99183064 | 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: | Summit Family Dental Of Kirtland, Llc
#3 Cr 6523,
Kirtland, New Mexico |
| Zip: | 87417 |
| Phone Number: | 505-598-6800 |
| Fax Number: | 505-598-6830 |
Patients can reach Summit Family Dental Of Kirtland, Llc at
#3 Cr 6523, Kirtland, New Mexico or can
call to book an appointment on 505-598-6800.
Comments/ Reviews:
Read all the reviews posted for Summit Family Dental Of Kirtland, Llc below. You may also share your own experience with Summit Family Dental Of Kirtland, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.