NORTHERN NEW MEXICO PERIODONTAL ASSOC.
NPI 1043371842
Dentist - Periodontics in Santa Fe, NM

Active since December 13, 2006
318 GRANT AVE, SANTA FE, NM 87501(505) 988-8822(505) 988-8824 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Northern New Mexico Periodontal Assoc. NPPES

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

NORTHERN NEW MEXICO PERIODONTAL ASSOC. (NPI 1043371842) is a healthcare organization registered as a periodontics in Santa Fe, New Mexico and active in the NPI registry since December 2006. The organization lists William Dean Parker, President, as its authorized official.

NPPES Registry Identity

NPI1043371842
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameNORTHERN NEW MEXICO PERIODONTAL ASSOC.
Location Address318 GRANT AVESanta Fe, NM 87501-1933
Mailing Address318 Grant AveSanta Fe, NM 87501-1933 · (505) 988-8822 · Fax (505) 988-8824
Fax(505) 988-8824
Organization SubpartNo
Authorized OfficialWilliam Dean ParkerPresident · (505) 988-8822
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043371842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NM · DD1125
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
318 GRANT AVE, Santa Fe, NM 87501

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

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

Dentist (Periodontics)
318 GRANT AVE
SANTA FE, NM 87501

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 Northern New Mexico Periodontal Assoc.'s NPI number?

The NPI number for Northern New Mexico Periodontal Assoc. is 1043371842. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Northern New Mexico Periodontal Assoc. located?

Northern New Mexico Periodontal Assoc. is located at 318 Grant Ave, Santa Fe, NM 87501. The listed phone number is (505) 988-8822.

What is Northern New Mexico Periodontal Assoc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Northern New Mexico Periodontal Assoc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.