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

Orthodental PC

Organization Dentist · NPI 1750622072

Orthodental PC is a Dentist in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2013.

Licensed in
NM
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1748 W Maloney Ave
Gallup, NM 87301-3333
Phone: (505) 863-8100
Fax: (505) 863-8064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD3399 (NM)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DD3399 (NM)

Record details

NPI number1750622072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wilson — Owner · (505) 325-8858
NPI enumeratedMarch 12, 2013
Last updated in NPPESMarch 12, 2013
Mailing address1748 W Maloney Ave, Gallup, NM 87301-3333

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