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WISTERIA DENTAL LLC
NPI 1306650833
Clinic/Center - Dental in Rio Rancho, NM

Active since February 05, 2025
1904 WELLSPRING AVE SE, RIO RANCHO, NM 87124(505) 896-6654 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wisteria Dental Llc NPPES

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

WISTERIA DENTAL LLC (NPI 1306650833) is a healthcare organization registered as a dental in Rio Rancho, New Mexico and active in the NPI registry since February 2025. The organization lists Trang Le, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1306650833
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWISTERIA DENTAL LLC
Location Address1904 WELLSPRING AVE SERio Rancho, NM 87124-4888
Mailing Address1904 Wellspring Ave SeRio Rancho, NM 87124-4888 · (505) 896-6654
Phone(505) 896-6654
Organization SubpartNo
Authorized OfficialTrang LeOwner Dentist · (505) 896-6654
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1306650833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1904 WELLSPRING AVE SE, Rio Rancho, NM 87124
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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.

MR. AHMAHN M PEEPLES CPO/LPO, ACSM CPT
Prosthetist
1904 WELLSPRING AVE SE, SUITE 109
RIO RANCHO, NM 87124
Sandoval County (505) 898-6865
BRIAN K HATCH, DMD PC
Dentist (Pediatric Dentistry)
1904 WELLSPRING AVE SE, #105
RIO RANCHO, NM 87124
Sandoval County (505) 415-0462
MENM LLC
Audiologist-Hearing Aid Fitter
1904 WELLSPRING AVE SE
RIO RANCHO, NM 87124
Sandoval County (505) 250-3190

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 Wisteria Dental LLC's NPI number?

The NPI number for Wisteria Dental LLC is 1306650833. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Wisteria Dental LLC located?

Wisteria Dental LLC is located at 1904 Wellspring Ave SE, Rio Rancho, NM 87124. The listed phone number is (505) 896-6654.

What is Wisteria Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wisteria Dental LLC was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.