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

Northern New Mexico Periodontal Assoc

Organization Periodontics · NPI 1043371842

Northern New Mexico Periodontal Assoc is a Periodontics in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

318 Grant Ave
Santa Fe, NM 87501-1933
Phone: (505) 988-8822
Fax: (505) 988-8824
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DD1125 (NM)

Record details

NPI number1043371842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Parker — President · (505) 988-8822
NPI enumeratedDecember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address318 Grant Ave, Santa Fe, NM 87501-1933

Other providers in Santa Fe