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DR. SU MIN MADDY DMD
NPI 1639854276
Dentist - General Practice in Clovis, NM

Active since June 20, 2023
821 LEXINGTON RD, CLOVIS, NM 88101(575) 762-2355 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Jun 20, 2023 (2 updates tracked since 2023).

About Dr. Su Min Maddy Dmd NPPES

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

DR. SU MIN MADDY DMD (NPI 1639854276) is an individual general practice provider in Clovis, New Mexico, licensed in New Mexico (DB-2023-0127) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1639854276
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SU MIN MADDYCredential: DMD
Location Address821 LEXINGTON RDClovis, NM 88101-4466
Mailing Address821 Lexington RdClovis, NM 88101-4466 · (575) 762-2355
Phone(575) 762-2355
Sole ProprietorYes
Enumeration DateJune 20, 2023
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1639854276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DB-2023-0127
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.
821 LEXINGTON RD, Clovis, NM 88101
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Other Providers at the Same Location NPPES 3

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

SUMMIT IMAGING LLC
Clinic/Center (Radiology)
821 LEXINGTON RD
CLOVIS, NM 88101
Curry County (575) 763-6144
SUMMIT IMAGING LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
821 LEXINGTON RD
CLOVIS, NM 88101
Curry County (575) 763-6144
DREW NEAL MADDY DMD
Dentist (General Practice)
821 LEXINGTON RD
CLOVIS, NM 88101
Curry County (575) 762-2355

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 Su Maddy's NPI number?

The NPI number for Su Maddy is 1639854276. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Su Maddy located?

Su Maddy practices at 821 Lexington Rd, Clovis, NM 88101. The listed phone number is (575) 762-2355.

What is Su Maddy'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 Su Maddy was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.