KALEB MADSEN - NPI 1699664011 - Dentist in Gallup, NM

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Kaleb Madsen NPPES

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

KALEB MADSEN (NPI 1699664011) is an individual general practice provider in Gallup, New Mexico, licensed in New Mexico (DB-2025-0111) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1699664011

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKALEB MADSEN

Location Address1601 S SECOND STGallup, NM 87301-5816

Mailing Address1104 Nevada CirGallup, NM 87301-5433 · (801) 822-3222

Phone(505) 722-4422

Sole ProprietorNo

Enumeration DateJuly 1, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1699664011 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-2025-0111

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.

1601 S SECOND ST, Gallup, NM 87301

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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 7

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

DR. JACOB JENNINGS DDS

Dentist