Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dental Innovations of Gallup

Organization General Practice Dentistry · NPI 1528315074

Dental Innovations of Gallup is a General Practice Dentistry in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.

Licensed in
NM
In the registry since
2012

Practice location Address checks out

214 W Aztec Ave
Gallup, NM 87301-6302
Phone: (505) 863-4457
Fax: (505) 722-4310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence TD0029 (NM)

Record details

NPI number1528315074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Baker — Owner · (505) 863-4457
NPI enumeratedAugust 14, 2012
Last updated in NPPESAugust 14, 2012
Mailing address214 W Aztec Ave, Gallup, NM 87301-6302

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