1. Home
  2. Directory
  3. New Mexico
  4. Embudo
  5. Clinic Center
  6. NPI Profile

EMBUDO DENTAL CENTER LLC
NPI 1679017453
Clinic/Center - Dental in Embudo, NM

Active since December 13, 2016
1102 STATE HIGHWAY 68, EMBUDO, NM 87531(505) 579-4680(505) 579-4074 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Embudo Dental Center Llc NPPES

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

EMBUDO DENTAL CENTER LLC (NPI 1679017453) is a healthcare organization registered as a dental in Embudo, New Mexico and active in the NPI registry since December 2016. The organization lists Kellie A Harris, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1679017453
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEMBUDO DENTAL CENTER LLC
Location Address1102 STATE HIGHWAY 68Embudo, NM 87531-0037
Mailing AddressPo Box 37, 1102 State Highway 68Embudo, NM 87531-0037 · (505) 579-4680 · Fax (505) 579-4074
Phone(505) 579-4680
Fax(505) 579-4074
Organization SubpartNo
Authorized OfficialKellie A HarrisOwner/dentist · (505) 579-4680
Enumeration DateDecember 13, 2016
✔ NPI 1679017453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in NM · DD1953✔ Licensed in NM · DD1074
1102 STATE HIGHWAY 68, Embudo, NM 87531
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. KAYCI M HARRIS DMD
Dentist
1102 STATE HIGHWAY 68
EMBUDO, NM 87531
Rio Arriba County (505) 579-4680

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 Embudo Dental Center LLC's NPI number?

The NPI number for Embudo Dental Center LLC is 1679017453. It was assigned to this organization in the NPPES registry on December 13, 2016.

Where is Embudo Dental Center LLC located?

Embudo Dental Center LLC is located at 1102 State Highway 68, Embudo, NM 87531. The listed phone number is (505) 579-4680.

What is Embudo Dental Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Embudo Dental Center LLC was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.