Summit Family Dental of Kirtland, LLC
Summit Family Dental of Kirtland, LLC is a General Practice Dentistry in Kirtland, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.
- Licensed in
- NM
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
#3 Cr 6523Kirtland, NM 87417
Phone: (505) 598-6800
Fax: (505) 598-6830
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DD2872 (NM) |
|---|
Record details
| NPI number | 1710215439 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cody Coleman — Owner · (505) 598-6800 |
| NPI enumerated | November 19, 2009 |
| Last updated in NPPES | September 30, 2020 |
| Certification date | September 30, 2020 |
| Mailing address | 3 Cr 6523, Kirtland, NM 87417 |