CHILDRENS DENTAL CLINIC OF RUIDOSO PC
NPI 1376618967
Clinic/Center - Dental in Ruidoso, NM

Active since November 21, 2006
721 MECHEM SIERRA MALL #5, RUIDOSO, NM 88345(505) 257-0246(505) 257-0249 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About CHILDRENS DENTAL CLINIC OF RUIDOSO PC

This page provides the complete NPI Profile along with additional information for Childrens Dental Clinic Of Ruidoso Pc, a provider established in Ruidoso, New Mexico operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1376618967 assigned on November 2006. The practitioner's primary taxonomy code is 261QD0000X with license number DD1984 (NM). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Mack Allen Mcguinness Dds (President)

NPI
1376618967 Verify this NPI
Provider Name
CHILDRENS DENTAL CLINIC OF RUIDOSO PC
Entity Type
Organization
Location Address
721 MECHEM SIERRA MALL #5 RUIDOSO, NM 88345
Location Phone
(505) 257-0246
Location Fax
(505) 257-0249
Mailing Address
721 MECHEM SIERRA MALL #5 RUIDOSO, NM 88345
Mailing Phone
(505) 257-0246
Mailing Fax
(505) 257-0249
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
09-05-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DD1984
License State
NM

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MACK ALLEN MCGUINNESS DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(505) 257-0246

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008C53OTHER (01)NMBC/BS OF NM
71823MEDICAID (05)NM 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376618967, enumerated as an "organization" on November 21, 2006.

The provider is located at 721 MECHEM SIERRA MALL #5 RUIDOSO, NM 88345 and the phone number is (505) 257-0246.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.