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

Derrick Baca DDS LLC

Organization General Practice Dentistry · NPI 1902214406

Derrick Baca DDS LLC is a General Practice Dentistry in Grants, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1209 Bonita St
Grants, NM 87020-2103
Phone: (505) 876-4034
Fax: (505) 876-4036
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 DD3492 (NM)

Record details

NPI number1902214406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Baca — General Dentist · (505) 876-4034
NPI enumeratedJuly 28, 2014
Last updated in NPPESJuly 28, 2014
Mailing address1209 Bonita St, Grants, NM 87020-2103

Other providers in Grants