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SAN MIGUEL DENTAL
NPI 1033400601
Dentist - General Practice in Las Vegas, NM

Active since April 29, 2011
2503 RIDGE RUNNER RD, LAS VEGAS, NM 87701(505) 425-6434(505) 425-6464 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Miguel Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN MIGUEL DENTAL (NPI 1033400601) is a healthcare organization registered as a general practice in Las Vegas, New Mexico and active in the NPI registry since April 2011. The organization lists Wilfred B Pacheco, Owner, as its authorized official.

NPPES Registry Identity

NPI1033400601
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAN MIGUEL DENTAL
Location Address2503 RIDGE RUNNER RDLas Vegas, NM 87701-4972
Mailing Address2503 Ridge Runner RdLas Vegas, NM 87701-4972 · (505) 425-6434 · Fax (505) 425-6464
Phone(505) 425-6434
Fax(505) 425-6464
Organization SubpartNo
Authorized OfficialWilfred B PachecoOwner · (505) 425-6434
Enumeration DateApril 29, 2011
✔ NPI 1033400601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD1606
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2503 RIDGE RUNNER RD, Las Vegas, NM 87701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERAFIN LOPEZ BMS
Counselor
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
JOSEPH GUTIERREZ BMS
Counselor
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
VANESSA FRANK BMS
Counselor
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
VALERIE VALENCIA BMS
Counselor
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
DIEGO RIVERA BMS
Counselor
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
RUSSELL JAMES GARCIA BMS
Counselor
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
JACQUELINE CANNONE BMS
Case Manager/Care Coordinator
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
SARAH ANN MAYER-SWIFT LPCC
Counselor (Professional)
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Miguel Dental's NPI number?

The NPI number for San Miguel Dental is 1033400601. It was assigned to this organization in the NPPES registry on April 29, 2011.

Where is San Miguel Dental located?

San Miguel Dental is located at 2503 Ridge Runner Rd, Las Vegas, NM 87701. The listed phone number is (505) 425-6434.

What is San Miguel Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for San Miguel Dental was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.