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ANIMAS PEDIATRIC DENTAL GROUP
NPI 1295823177
Dentist - Pediatric Dentistry in Farmington, NM

Active since October 10, 2006
2650 E PINON FRONTAGE RD. BLDG. 200, FARMINGTON, NM 87402(505) 599-9359(505) 599-8177 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Animas Pediatric Dental Group NPPES

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

ANIMAS PEDIATRIC DENTAL GROUP (NPI 1295823177) is a healthcare organization registered as a pediatric dentistry in Farmington, New Mexico and active in the NPI registry since October 2006. The organization lists Lawrence Suazo, Owner, as its authorized official.

NPPES Registry Identity

NPI1295823177
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameANIMAS PEDIATRIC DENTAL GROUP
Location Address2650 E PINON FRONTAGE RD. BLDG. 200Farmington, NM 87402-5061
Mailing Address2650 E Pinon Frontage Rd. Bldg. 200Farmington, NM 87402-5061 · (505) 599-9359 · Fax (505) 599-8177
Phone(505) 599-9359
Fax(505) 599-8177
Organization SubpartNo
Authorized OfficialLawrence SuazoOwner · (505) 599-9359
Enumeration DateOctober 10, 2006
Last NPPES UpdateNovember 26, 2014
✔ NPI 1295823177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NM · D1997✔ Licensed in NM · DD1997
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2650 E PINON FRONTAGE RD. BLDG. 200, Farmington, NM 87402
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Other Identifiers 1

Medicaid00076517NM

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

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 Animas Pediatric Dental Group's NPI number?

The NPI number for Animas Pediatric Dental Group is 1295823177. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Animas Pediatric Dental Group located?

Animas Pediatric Dental Group is located at 2650 E Pinon Frontage Rd. Bldg. 200, Farmington, NM 87402. The listed phone number is (505) 599-9359.

What is Animas Pediatric Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Animas Pediatric Dental Group was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.