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

Dr. Nicholas Richard Withem, DMD

Individual provider Dentist · NPI 1891102752

Dr. Nicholas Richard Withem, DMD is a Dentist in Farmington, New Mexico. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6588 E Main St
Farmington, NM 87402-5122
Phone: (505) 326-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D009005 (AZ)

Record details

NPI number1891102752
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 11, 2014
Last updated in NPPESDecember 18, 2017
Mailing address6588 E Main St, Farmington, NM 87402-5122

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