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DR. DAVINA ROSE DETRIK DDS
NPI 1457793416
Dentist in Santa Fe, NM

Active since July 19, 2013
2 CALLE MEDICO STE 3, SANTA FE, NM 87505(505) 303-1974 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Davina Rose Detrik Dds NPPES

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

DR. DAVINA ROSE DETRIK DDS (NPI 1457793416) is an individual dentist in Santa Fe, New Mexico, licensed in New Mexico (DD3923) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1457793416
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVINA ROSE DETRIKCredential: DDS
Location Address2 CALLE MEDICO STE 3Santa Fe, NM 87505-4785
Mailing Address6835 Guadalupe Trl NwLos Ranchos, NM 87107-6205 · (303) 519-3454 · Fax (303) 519-3454
Phone(505) 303-1974
Sole ProprietorNo
Enumeration DateJuly 19, 2013
Last NPPES UpdateFebruary 10, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1457793416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD3923
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2 CALLE MEDICO STE 3, Santa Fe, NM 87505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DEVIN GIRON, DDS
Clinic/Center (Dental)
2 CALLE MEDICO STE 3
SANTA FE, NM 87505
Santa Fe County (505) 992-1600

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 Davina Detrik's NPI number?

The NPI number for Davina Detrik is 1457793416. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Where is Davina Detrik located?

Davina Detrik practices at 2 Calle Medico Ste 3, Santa Fe, NM 87505. The listed phone number is (505) 303-1974.

What is Davina Detrik's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Davina Detrik accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Davina Detrik 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 Davina Detrik was last updated on February 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.