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DEEP BLUE DENTAL
NPI 1740484641
Dentist - General Practice in Santa Rosa, NM

Active since June 13, 2007
1000 BLUE HOLE RD, SANTA ROSA, NM 88435(505) 718-6899 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deep Blue Dental NPPES

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

DEEP BLUE DENTAL (NPI 1740484641) is a healthcare organization registered as a general practice in Santa Rosa, New Mexico and active in the NPI registry since June 2007. The organization lists Raymond Frank Collins, President, as its authorized official.

NPPES Registry Identity

NPI1740484641
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOLLINS DENTAL
Location Address1000 BLUE HOLE RDSanta Rosa, NM 88435-2533
Mailing Address1000 Blue Hole RdSanta Rosa, NM 88435-2533 · (505) 718-6899
Phone(505) 718-6899
Organization SubpartNo
Authorized OfficialRaymond Frank CollinsPresident · (505) 718-6899
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740484641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NM · DD2469✔ Licensed in NM · DD2208
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.
1000 BLUE HOLE RD, Santa Rosa, NM 88435
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Other Names 1

Doing Business AsDeep Blue Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. KATRINA LOUISE LUERAS-COLLINS D.D.S
Dentist
1000 BLUE HOLE RD
SANTA ROSA, NM 88435
Guadalupe County (505) 718-6899

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 Collins Dental's NPI number?

The NPI number for Collins Dental is 1740484641. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Deep Blue Dental.

Where is Collins Dental located?

Collins Dental is located at 1000 Blue Hole Rd, Santa Rosa, NM 88435. The listed phone number is (505) 718-6899.

What is Collins Dental'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 Collins Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.