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PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC
NPI 1154624401
Dentist in Las Cruces, NM

Active since December 08, 2010
2450 SOUTH TELSHOR, MEMORIAL MEDICAL HOSPITAL, LAS CRUCES, NM 88011(575) 621-0800(575) 373-3091 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Specialist Of New Mexico Llc NPPES

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

PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC (NPI 1154624401) is a healthcare organization registered as a dentist in Las Cruces, New Mexico and active in the NPI registry since December 2010. The organization lists Peter Andrew Hayes, Pediatric Dental Specialist, as its authorized official.

NPPES Registry Identity

NPI1154624401
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC
Location Address2450 SOUTH TELSHOR, MEMORIAL MEDICAL HOSPITALLas Cruces, NM 88011-7594
Mailing Address5475 Remington Road, Dr. Peter HayesLas Cruces, NM 88011-7594 · (575) 621-0800 · Fax (575) 373-3091
Phone(575) 621-0800
Fax(575) 373-3091
Organization SubpartNo
Authorized OfficialPeter Andrew HayesPediatric Dental Specialist · (575) 621-0800
Enumeration DateDecember 8, 2010
✔ NPI 1154624401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD2233
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2450 SOUTH TELSHOR, Las Cruces, NM 88011
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Other Identifiers 1

Medicaid92472214NM

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Pediatric Dental Specialist Of New Mexico LLC's NPI number?

The NPI number for Pediatric Dental Specialist Of New Mexico LLC is 1154624401. It was assigned to this organization in the NPPES registry on December 8, 2010.

Where is Pediatric Dental Specialist Of New Mexico LLC located?

Pediatric Dental Specialist Of New Mexico LLC is located at 2450 South Telshor Memorial Medical Hospital, Las Cruces, NM 88011. The listed phone number is (575) 621-0800.

What is Pediatric Dental Specialist Of New Mexico LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pediatric Dental Specialist Of New Mexico LLC accept?

Health plans from UnitedHealthcare list Pediatric Dental Specialist Of New Mexico LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Specialist Of New Mexico LLC was last updated on December 8, 2010. 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.