COREY BACA RDH
NPI 1205203460
Dental Hygienist in Albuquerque, NM

Active since August 24, 2015
1710 WYOMING BLVD NE, ALBUQUERQUE, NM 87112(505) 299-9122 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey Baca Rdh NPPES

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

COREY BACA RDH (NPI 1205203460) is an individual dental hygienist in Albuquerque, New Mexico, licensed in New Mexico (DH3860) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1205203460
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameCOREY BACACredential: RDH
Location Address1710 WYOMING BLVD NEAlbuquerque, NM 87112-3855
Mailing Address1710 Wyoming Blvd NeAlbuquerque, NM 87112-3855 · (505) 299-9122
Sole ProprietorYes
Enumeration DateAugust 24, 2015
NPI 1205203460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in NM · DH3860
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1710 WYOMING BLVD NE, Albuquerque, NM 87112

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
1710 WYOMING BLVD NE
ALBUQUERQUE, NM 87112

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 Corey Baca's NPI number?

The NPI number for Corey Baca is 1205203460. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Corey Baca located?

Corey Baca practices at 1710 Wyoming Blvd NE, Albuquerque, NM 87112. The listed phone number is (505) 299-9122.

What is Corey Baca's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Corey Baca was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.