ENCHANTED HILLS DENTISTRY
NPI 1396138038
Dentist - General Practice in Bernalillo, NM

Q: What is Enchanted Hills Dentistry, Professional Corporation's specialty?

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

Active since March 05, 2015

470 NEW MEXICO 528, A, BERNALILLO, NM 87004(505) 867-8444(505) 867-3186 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Enchanted Hills Dentistry NPPES

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

ENCHANTED HILLS DENTISTRY (NPI 1396138038) is a healthcare organization registered as a general practice in Bernalillo, New Mexico and active in the NPI registry since March 2015. The organization lists Mario Herrejon-ruiz, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1396138038

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameENCHANTED HILLS DENTISTRY, PROFESSIONAL CORPORATION

Location Address470 NEW MEXICO 528, ABernalillo, NM 87004

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(505) 867-8444

Fax(505) 867-3186

Organization SubpartNo

Authorized OfficialMario Herrejon-ruizOwner Doctor · (505) 867-8444

Enumeration DateMarch 5, 2015

Last NPPES UpdateMarch 31, 2015

✔ NPI 1396138038 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.

470 NEW MEXICO 528, Bernalillo, NM 87004

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Other Names 1

Doing Business AsEnchanted Hills Dentistry

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 Enchanted Hills Dentistry, Professional Corporation's NPI number?

The NPI number for Enchanted Hills Dentistry, Professional Corporation is 1396138038. It was assigned to this organization in the NPPES registry on March 5, 2015. The provider is doing business as Enchanted Hills Dentistry.

Where is Enchanted Hills Dentistry, Professional Corporation located?

Enchanted Hills Dentistry, Professional Corporation is located at 470 New Mexico 528 A, Bernalillo, NM 87004. The listed phone number is (505) 867-8444.

What is Enchanted Hills Dentistry, Professional Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Enchanted Hills Dentistry, Professional Corporation was last updated on March 31, 2015. 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.