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

San Miguel Dental

Organization General Practice Dentistry · NPI 1033400601

San Miguel Dental is a General Practice Dentistry in Las Vegas, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011

Practice location Address checks out

2503 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone: (505) 425-6434
Fax: (505) 425-6464
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 DD1606 (NM)

Record details

NPI number1033400601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilfred Pacheco — Owner · (505) 425-6434
NPI enumeratedApril 29, 2011
Last updated in NPPESApril 29, 2011
Mailing address2503 Ridge Runner Rd, Las Vegas, NM 87701-4972

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