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

Wildwind Dental

Organization Dentist · NPI 1629290283

Wildwind Dental is a Dentist in Los Alamos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

111 Longview Dr Ste B3
Los Alamos, NM 87544
Phone: (505) 672-2020
Fax: (505) 672-2020
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1668 (NM)

Record details

NPI number1629290283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Ballard — President Wildwind Dental · (505) 672-2020
Other names Ellen Ballard Dds
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address203 Rio Bravo, Los Alamos, NM 87544

Other providers in Los Alamos