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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.