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BECKLAND DENTAL KIDS OF FARMINGTON LLC
NPI 1104377811
Dentist - General Practice in Farmington, NM

Active since October 18, 2016
3903 BECKLAND DR, FARMINGTON, NM 87402(505) 436-2735(505) 436-2735 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2020, Nov 22, 2016, Oct 28, 2016 and 1 more (4 updates tracked since 2016).

About Beckland Dental Kids Of Farmington Llc NPPES

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

BECKLAND DENTAL KIDS OF FARMINGTON LLC (NPI 1104377811) is a healthcare organization registered as a general practice in Farmington, New Mexico and active in the NPI registry since October 2016. The organization lists Lisa Hodges, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1104377811
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBECKLAND DENTAL KIDS OF FARMINGTON LLC
Location Address3903 BECKLAND DRFarmington, NM 87402-4701
Mailing Address3909 Beckland Dr.Farmington, NM 87402 · (505) 436-2735 · Fax (505) 436-2736
Phone(505) 436-2735
Fax(505) 436-2735
Organization SubpartNo
Authorized OfficialLisa HodgesOperations Director · (505) 787-2965
Enumeration DateOctober 18, 2016
Last NPPES UpdateOctober 15, 20204 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1104377811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NM · DD3385✔ Licensed in NM · DD2872
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.

3903 BECKLAND DR, Farmington, NM 87402
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Other Identifiers 1

Medicaid99183064NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Beckland Dental Kids Of Farmington LLC's NPI number?

The NPI number for Beckland Dental Kids Of Farmington LLC is 1104377811. It was assigned to this organization in the NPPES registry on October 18, 2016.

Where is Beckland Dental Kids Of Farmington LLC located?

Beckland Dental Kids Of Farmington LLC is located at 3903 Beckland Dr, Farmington, NM 87402. The listed phone number is (505) 436-2735.

What is Beckland Dental Kids Of Farmington LLC'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 Beckland Dental Kids Of Farmington LLC was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.