HENDRICKS DENTAL GROUP, LLC


Address: 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674
Phone: (505) 989-8749

HENDRICKS DENTAL GROUP, LLC (NPI# 1952810715) 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) 1952810715
Entity Type Organization
Organization Name HENDRICKS DENTAL GROUP, LLC
Practice Address 444 Saint Michaels Dr Ste B
Santa Fe
NM 87505-7674
Practice Telephone (505) 989-8749
Mailing Telephone 5059898749
Enumeration Date 2017-09-25
Last Update Date 2017-09-25
Authorized Official Name VIRGINIA HENDRICKS (GENERAL MANAGER)
Authorized Official Telephone 5056036220
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
4731 NM Dental Providers

Office Location

Street Address 444 SAINT MICHAELS DR STE B
City SANTA FE
State NM
Zip Code 87505-7674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689847576 Dental Fitness, PC Dental Hygienist 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674 2008-04-11
1174779227 Joyce Horn Dental Hygienist 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674 2008-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659574176 Marion Lawrence Larragoite Dentist 2904 Rodeo Park Dr E, Suite 400-b, Santa Fe, NM 87505-6305 2007-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144475518 David A. Irvin Dentist 6830 Montgomery Blvd. Ne, Suite C, Albuquerque, NM 87109-1455 2008-11-26
1588672752 Ann L Ortega Dentist 1594 Sara Rd Se, Rio Rancho, NM 87124-1862 2006-08-04
1063478618 Mitchell R. Wilkinson Dentist Po Box 187, Dulce, NM 87528-0187 2006-04-24
1841288669 August Joseph Kaleta Dentist Us Highway 491 N, Shiprock, NM 87420 2005-10-06
1366447898 Marc Bernard Appelbaum Dentist 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 2005-06-21
1730512245 Diana N Ulrickson Dentist 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 2013-08-20
1194013805 Darren Carl Norby Dentist 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 2011-07-14
1528392115 Madelyn Lucille Fletcher-stark Dentist 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 87114-4549 2009-09-29
1982778387 Phillip Allen Cook Dentist 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 2006-11-17
1336250521 David Ray Jimenez Dentist 9204 Menaul Blvd Ne, 3, Albuquerque, NM 87112-2256 2006-08-31
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Competitor

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City SANTA FE
Zip Code 87505

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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