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SUNDANCE DENTAL CARE OF RIO RANCHO, LLC
NPI 1164725503
Dentist in Rio Rancho, NM

Active since December 07, 2010
770 BROADMOOR BLVD NE, RIO RANCHO, NM 87124(505) 891-0554(505) 891-0552 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sundance Dental Care Of Rio Rancho, Llc NPPES

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

SUNDANCE DENTAL CARE OF RIO RANCHO, LLC (NPI 1164725503) is a healthcare organization registered as a dentist in Rio Rancho, New Mexico and active in the NPI registry since December 2010. The organization lists Michelle Brown, Manager, as its authorized official.

NPPES Registry Identity

NPI1164725503
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUNDANCE DENTAL CARE OF RIO RANCHO, LLC
Location Address770 BROADMOOR BLVD NERio Rancho, NM 87124
Mailing Address770 Broadmoor Blvd. NeRio Rancho, NM 87124 · (505) 891-0554 · Fax (505) 891-0552
Phone(505) 891-0554
Fax(505) 891-0552
Organization SubpartNo
Authorized OfficialMichelle BrownManager · (505) 326-6800
Enumeration DateDecember 7, 2010
Last NPPES UpdateJune 17, 2014
✔ NPI 1164725503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NM · DD2287✔ Licensed in NM · DD2872✔ Licensed in NM · DD3016
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.
770 BROADMOOR BLVD NE, Rio Rancho, NM 87124
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Other Identifiers 6

Medicaid1578721718NM
Medicaid1316070303NM
Medicaid1093982027NM
Medicaid1437146768NM
Medicaid1447415849NM
Medicaid1659369700NM

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

NICHOLAS PAUL JENSEN D.D.S.
Dentist (General Practice)
770 BROADMOOR BLVD NE
RIO RANCHO, NM 87124
Sandoval County (505) 891-0554
DR. CADE CARL NYKAMP DMD
Dentist (General Practice)
770 BROADMOOR BLVD NE
RIO RANCHO, NM 87124
Sandoval County (505) 891-0554
770 BROADMOOR RIO RANCHO PROFESSIONAL LLC
Dentist
770 BROADMOOR BLVD NE
RIO RANCHO, NM 87124
Sandoval County (505) 891-0554

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 Sundance Dental Care Of Rio Rancho, LLC's NPI number?

The NPI number for Sundance Dental Care Of Rio Rancho, LLC is 1164725503. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Sundance Dental Care Of Rio Rancho, LLC located?

Sundance Dental Care Of Rio Rancho, LLC is located at 770 Broadmoor Blvd NE, Rio Rancho, NM 87124. The listed phone number is (505) 891-0554.

What is Sundance Dental Care Of Rio Rancho, LLC's specialty?

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

What insurance does Sundance Dental Care Of Rio Rancho, LLC accept?

Health plans from UnitedHealthcare list Sundance Dental Care Of Rio Rancho, 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 Sundance Dental Care Of Rio Rancho, LLC was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.