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FORT WINGATE DENTAL CLINIC
NPI 1952505208
Clinic/Center - Dental in Ft . Wingate, NM

Active since June 12, 2007
520 B SHUSH DRIVE, EXIT 33 STATE ROAD 400, FT . WINGATE, NM 87316(505) 722-1770(505) 722-1796 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fort Wingate Dental Clinic NPPES

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

FORT WINGATE DENTAL CLINIC (NPI 1952505208) is a healthcare organization registered as a dental in Ft . Wingate, New Mexico and active in the NPI registry since June 2007. The organization lists Bennie C. Yazzie, Acting Ceo, as its authorized official.

NPPES Registry Identity

NPI1952505208
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGALLUP INDIAN MEDICAL CENTER
Location Address520 B SHUSH DRIVE, EXIT 33 STATE ROAD 400Ft . Wingate, NM 87316
Mailing Address516 E. Nizhoni BlvdGallup, NM 87301-1337 · (505) 722-1770 · Fax (505) 722-1796
Phone(505) 722-1770
Fax(505) 722-1796
Organization SubpartNo
Authorized OfficialBennie C. YazzieActing Ceo · (505) 722-1000
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 22, 2008
✔ NPI 1952505208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed · 9435
520 B SHUSH DRIVE, Ft . Wingate, NM 87316
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Other Names 1

Doing Business AsFort Wingate Dental Clinic

Other Identifiers 1

Medicaid27603725NM

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 Gallup Indian Medical Center's NPI number?

The NPI number for Gallup Indian Medical Center is 1952505208. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Fort Wingate Dental Clinic.

Where is Gallup Indian Medical Center located?

Gallup Indian Medical Center is located at 520 B Shush Drive Exit 33 State Road 400, Ft . Wingate, NM 87316. The listed phone number is (505) 722-1770.

What is Gallup Indian Medical Center'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 Gallup Indian Medical Center was last updated on July 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.