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FOUR CORNERS FAMILY DENTAL
NPI 1285252627
Dentist - General Practice in Farmington, NM

Active since July 13, 2020
3501 N BUTLER AVE STE 104, FARMINGTON, NM 87401(505) 564-4470(505) 325-9707 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Four Corners Family Dental NPPES

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

FOUR CORNERS FAMILY DENTAL (NPI 1285252627) is a healthcare organization registered as a general practice in Farmington, New Mexico and active in the NPI registry since July 2020. The organization lists Peter Grumbos, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1285252627
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name3501 NORTH BUTLER AVENUE FARMINGTON PROFESSIONAL LLC
Location Address3501 N BUTLER AVE STE 104Farmington, NM 87401-6430
Mailing Address3501 N Butler Ave Ste 104Farmington, NM 87401-6430 · (505) 564-4470 · Fax (505) 325-9707
Phone(505) 564-4470
Fax(505) 325-9707
Organization SubpartNo
Authorized OfficialPeter GrumbosPractice Owner · (505) 564-4470
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
✔ NPI 1285252627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3501 N BUTLER AVE STE 104, Farmington, NM 87401
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Other Names 1

Doing Business AsFour Corners Family Dental

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DR. DEVON KVARFORDT DMD
Dentist (General Practice)
3501 N BUTLER AVE STE 104
FARMINGTON, NM 87401
San Juan County (505) 564-4470
DDS CATALYST FARMINGTON, LLC
Dentist (General Practice)
3501 N BUTLER AVE STE 104
FARMINGTON, NM 87401
San Juan County (505) 564-4470

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 3501 North Butler Avenue Farmington Professional LLC's NPI number?

The NPI number for 3501 North Butler Avenue Farmington Professional LLC is 1285252627. It was assigned to this organization in the NPPES registry on July 13, 2020. The provider is doing business as Four Corners Family Dental.

Where is 3501 North Butler Avenue Farmington Professional LLC located?

3501 North Butler Avenue Farmington Professional LLC is located at 3501 N Butler Ave Ste 104, Farmington, NM 87401. The listed phone number is (505) 564-4470.

What is 3501 North Butler Avenue Farmington Professional LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does 3501 North Butler Avenue Farmington Professional LLC accept?

Health plans from UnitedHealthcare list 3501 North Butler Avenue Farmington Professional 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 3501 North Butler Avenue Farmington Professional LLC was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.