DDS CATALYST COUNTRY CLUB LLC


Address: 6588 E. Main St., Farmington, NM 87402
Phone: 5053266800

DDS CATALYST COUNTRY CLUB LLC (NPI# 1255445706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255445706
Entity Type Organization
Organization Name DDS CATALYST COUNTRY CLUB LLC
Practice Address 6588 E. Main St.
Farmington
NM 87402
Practice Telephone 5053266800
Practice Fax Number 5053266809
Mailing Telephone 5053266800
Mailing Fax Number 5053266809
Enumeration Date 2006-08-19
Last Update Date 2019-04-26
Authorized Official Name ANDREW ASHBY (OWNER)
Authorized Official Telephone 5053266800
Authorized Official Credential DDS, MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 164051 05

Office Location

Street Address 6588 E. MAIN ST.
City FARMINGTON
State NM
Zip Code 87402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285127803 Guy Mearle Youell Jr. Physical Therapy Assistant 3701 Messina Dr. #108, Farmington, NM 87402 2018-06-08
1740612498 Four Corners Sleep Supplies Durable Medical Equipment & Medical Supplies 6600 East Main St, Suite B, Farmington, NM 87402 2013-08-05
1528400199 Cloud 9 Sleep Center Clinic/Center 6600 E Main St, Suite C, Farmington, NM 87402 2013-07-24
1023395027 Founders Healthcare, LLC Durable Medical Equipment & Medical Supplies 2844 E Main St Ste 105, Farmington, NM 87402 2011-11-04
1356530927 Brimhall Chiropractic Wellness LLC Chiropractor 6610 E Main St, Farmington, NM 87402 2007-10-19
1548468184 Susan L Burns Hearing Instrument Specialist 4331 E. Main St., Suite 202, Farmington, NM 87402 2007-07-05
1205031945 Joanne Christine Rhodus Speech-Language Pathologist 6417 Red Rock Ct, Farmington, NM 87402 2007-06-20
1487867875 Harvey R. Weber Dentist 4725 Foothills Dr., Farmington, NM 87402 2007-05-08
1891834891 Rex Baker Family Medicine 4820 East Main St, Farmington, NM 87402 2007-02-06
1568531481 Portia Deanne Sykes Neuromusculoskeletal Medicine, Sports Medicine 8100 East Main Street, Farmington, NM 87402 2006-11-07
Find all providers in zip 87402

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407416977 Alexander Michael Shore Dentist 33153 Maplenut St, Farmington, MI 48336-4438 2019-06-17
1629596705 Dds Catalyst Farmington, LLC Dentist 3501 N Butler Ave Ste 104, Farmington, NM 87401-6430 2017-09-08
1750802997 Ryan Michael Holbrook Dentist 640 W Karsch Blvd, Farmington, MO 63640-3342 2017-06-28
1770939613 Modern Dental Professionals, Mn PC Dentist 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024-8207 2016-05-10
1508232992 Christopher Nicholaus Roclevitch Dentist 3030 E Main St, T-1, Farmington, NM 87402-7636 2015-08-19
1003200569 Pure Dental PC Dentist 2 Forest Park Dr Ste 1, Farmington, CT 06032-1446 2015-03-23
1417346016 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 520 W. Pine Street, Farmington, MO 63640-1426 2015-01-20
1487913869 Modern Dental Professionals Utah, PC Dentist 280 N Union Ave, #l110, Farmington, UT 84025 2012-05-07
1427320654 Summit Family Dental of Farmington, LLC Dentist 800 E 30th St Bldg 3, Farmington, NM 87401-9407 2012-02-03
1851679393 Peter Urling Dentist 19 S. Franklin St., Farmington, MO 63640 2011-08-02
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 87402

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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