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

Gallup Indian Medical Center

Organization Dental Clinic/Center · NPI 1740452697

Gallup Indian Medical Center is a Dental Clinic/Center in Gallup, New Mexico. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 9435

Record details

NPI number1740452697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Detsoi-Smiley — Chief Executive Officer · (505) 722-1000
NPI enumeratedApril 1, 2008
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing addressPo Box 1337, Gallup, NM 87305-1337