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SOUTHERN BLVD DENTAL CORP, PA
NPI 1316963739
Dentist - General Practice in Rio Rancho, NM

Active since July 15, 2006
2716 SOUTHERN BLVD SE, RIO RANCHO, NM 87124(505) 892-8600(505) 892-4215 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Blvd Dental Corp, Pa NPPES

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

SOUTHERN BLVD DENTAL CORP, PA (NPI 1316963739) is a healthcare organization registered as a general practice in Rio Rancho, New Mexico and active in the NPI registry since July 2006. The organization lists Martin G Goebbel, President/owner, as its authorized official.

NPPES Registry Identity

NPI1316963739
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN BLVD DENTAL CORP, PA
Location Address2716 SOUTHERN BLVD SERio Rancho, NM 87124-3741
Mailing Address2716 Southern Blvd SeRio Rancho, NM 87124-3741 · (505) 892-8600 · Fax (505) 892-4215
Phone(505) 892-8600
Fax(505) 892-4215
Organization SubpartNo
Authorized OfficialMartin G GoebbelPresident/owner · (505) 892-8600
Enumeration DateJuly 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316963739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NM · DD1498✔ Licensed in NM · DD1523
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.
2716 SOUTHERN BLVD SE, Rio Rancho, NM 87124
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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 MULTIPLE 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 4

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

BETTER SLEEP CENTER, LLC
Dentist (General Practice)
2716 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-8600
LESLIE JANET LOPEZ DDS
Dentist
2716 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-8600
DR. MARTIN GEORGE GOEBBEL DDS
Dentist (General Practice)
2716 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-8600
SIXPAW CAPITAL LLC
Dentist
2716 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-8600

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 Southern Blvd Dental Corp, PA's NPI number?

The NPI number for Southern Blvd Dental Corp, PA is 1316963739. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Southern Blvd Dental Corp, PA located?

Southern Blvd Dental Corp, PA is located at 2716 Southern Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 892-8600.

What is Southern Blvd Dental Corp, PA's specialty?

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

What insurance does Southern Blvd Dental Corp, PA accept?

Health plans from UnitedHealthcare list Southern Blvd Dental Corp, PA 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 Southern Blvd Dental Corp, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.