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770 BROADMOOR RIO RANCHO PROFESSIONAL LLC
NPI 1841890373
Dentist in Rio Rancho, NM

Active since October 26, 2020
770 BROADMOOR BLVD NE, RIO RANCHO, NM 87124(505) 891-0554(505) 891-0552 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 770 Broadmoor Rio Rancho Professional Llc NPPES

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

770 BROADMOOR RIO RANCHO PROFESSIONAL LLC (NPI 1841890373), doing business as Sundance Dental Care Of Rio Rancho, is a healthcare organization registered as a dentist in Rio Rancho, New Mexico and active in the NPI registry since October 2020. The organization lists Amy Gamboa, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1841890373
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business Name770 BROADMOOR RIO RANCHO PROFESSIONAL LLC
Location Address770 BROADMOOR BLVD NERio Rancho, NM 87124-3442
Mailing Address770 Broadmoor Blvd NeRio Rancho, NM 87124-3442 · (505) 891-0554 · Fax (505) 891-0552
Phone(505) 891-0554
Fax(505) 891-0552
Organization SubpartNo
Authorized OfficialAmy GamboaOffice Manager · (505) 891-0554
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1841890373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
770 BROADMOOR BLVD NE, Rio Rancho, NM 87124
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Other Names 1

Doing Business AsSundance Dental Care Of Rio Rancho

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 3

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

SUNDANCE DENTAL CARE OF RIO RANCHO, LLC
Dentist
770 BROADMOOR BLVD NE
RIO RANCHO, NM 87124
Sandoval County (505) 891-0554
NICHOLAS PAUL JENSEN D.D.S.
Dentist (General Practice)
770 BROADMOOR BLVD NE
RIO RANCHO, NM 87124
Sandoval County (505) 891-0554
DR. CADE CARL NYKAMP DMD
Dentist (General Practice)
770 BROADMOOR BLVD NE
RIO RANCHO, NM 87124
Sandoval County (505) 891-0554

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 770 Broadmoor Rio Rancho Professional LLC's NPI number?

The NPI number for 770 Broadmoor Rio Rancho Professional LLC is 1841890373. It was assigned to this organization in the NPPES registry on October 26, 2020. The provider is doing business as Sundance Dental Care of Rio Rancho.

Where is 770 Broadmoor Rio Rancho Professional LLC located?

770 Broadmoor Rio Rancho Professional LLC is located at 770 Broadmoor Blvd NE, Rio Rancho, NM 87124. The listed phone number is (505) 891-0554.

What is 770 Broadmoor Rio Rancho Professional LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 770 Broadmoor Rio Rancho Professional LLC was last updated on October 26, 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.