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SUNDANCE DENTAL CARE OF GALLUP
NPI 1235406927
Dentist - General Practice in Gallup, NM

Active since November 23, 2011
1601 S SECOND ST, GALLUP, NM 87301(505) 722-4422(505) 722-2060 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sundance Dental Care Of Gallup NPPES

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

SUNDANCE DENTAL CARE OF GALLUP (NPI 1235406927) is a healthcare organization registered as a general practice in Gallup, New Mexico and active in the NPI registry since November 2011. The organization lists Bruce B Shaheen, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1235406927
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUNDANCE DENTAL CARE OF GALLUP
Location Address1601 S SECOND STGallup, NM 87301-5816
Mailing Address1601 S Second StGallup, NM 87301-5816 · (505) 722-4422 · Fax (505) 722-2060
Phone(505) 722-4422
Fax(505) 722-2060
Organization SubpartNo
Authorized OfficialBruce B ShaheenDentist/owner · (505) 722-4422
Enumeration DateNovember 23, 2011
Last NPPES UpdateDecember 14, 2016
✔ NPI 1235406927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD3503
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.
1601 S SECOND ST, Gallup, NM 87301
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Other Identifiers 1

Medicaid97524239NM

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 7

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

DR. JACOB JENNINGS DDS
Dentist
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (505) 722-4422
1601 2ND STREET GALLUP PROFESSIONAL, LLC
Dentist (General Practice)
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (505) 722-4422
TRAVIS EVANS
Dentist (General Practice)
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (505) 722-4422
DR. MICHAEL DAMIAN KING D.M.D.
Dentist (General Practice)
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (801) 580-4081
KALEB MADSEN
Dentist (General Practice)
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (505) 722-4422
DR. TYLER WHITEHEAD DDS
Dentist (General Practice)
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (505) 722-4422
DR. LEWIS CLARK WILDE DDS
Dentist
1601 S SECOND ST
GALLUP, NM 87301
McKinley County (505) 722-4422

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 Gallup's NPI number?

The NPI number for Sundance Dental Care Of Gallup is 1235406927. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Sundance Dental Care Of Gallup located?

Sundance Dental Care Of Gallup is located at 1601 S Second St, Gallup, NM 87301. The listed phone number is (505) 722-4422.

What is Sundance Dental Care Of Gallup'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 Sundance Dental Care Of Gallup was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.