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EASTERN FAMILY DENTISTRY, LLC
NPI 1407280530
Dentist - General Practice in Portales, NM

Active since August 26, 2013
1521 W 18TH ST, PORTALES, NM 88130(575) 356-8514 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Family Dentistry, Llc NPPES

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

EASTERN FAMILY DENTISTRY, LLC (NPI 1407280530) is a healthcare organization registered as a general practice in Portales, New Mexico and active in the NPI registry since August 2013. The organization lists Jesse Martin, Partner, as its authorized official.

NPPES Registry Identity

NPI1407280530
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTERN FAMILY DENTISTRY, LLC
Location Address1521 W 18TH STPortales, NM 88130-7018
Mailing Address1521 W 18th StPortales, NM 88130-7018 · (575) 356-8514
Phone(575) 356-8514
Organization SubpartNo
Authorized OfficialJesse MartinPartner · (575) 356-8514
Enumeration DateAugust 26, 2013
✔ NPI 1407280530 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.
1521 W 18TH ST, Portales, NM 88130
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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 SINGLE SPECIALTY GROUP

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.

DENTAL DESIGNS, PC
Dentist (General Practice)
1521 W 18TH ST
PORTALES, NM 88130
Roosevelt County (505) 369-5930
FULL SMILE EASTERN FAMILY DENTISTRY, PLLC
Dentist (General Practice)
1521 W 18TH ST
PORTALES, NM 88130
Roosevelt County (806) 353-1055
AARON MARK STANDING DMD
Dentist (General Practice)
1521 W 18TH ST
PORTALES, NM 88130
Roosevelt County (575) 356-8514
PORTALES DENTAL ARTS CENTER INC
Dentist
1521 W 18TH ST
PORTALES, NM 88130
Roosevelt County (505) 356-8514

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 Eastern Family Dentistry, LLC's NPI number?

The NPI number for Eastern Family Dentistry, LLC is 1407280530. It was assigned to this organization in the NPPES registry on August 26, 2013.

Where is Eastern Family Dentistry, LLC located?

Eastern Family Dentistry, LLC is located at 1521 W 18th St, Portales, NM 88130. The listed phone number is (575) 356-8514.

What is Eastern Family Dentistry, LLC'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 Eastern Family Dentistry, LLC was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.