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RIO RANCHO DENTAL ASSOCIATES
NPI 1972166262
Dentist - General Practice in Rio Rancho, NM

Active since April 22, 2019
2200 GRANDE BLVD SE STE A, RIO RANCHO, NM 87124(505) 891-1500 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2019, Apr 22, 2019 (2 updates tracked since 2019).

About Rio Rancho Dental Associates NPPES

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

RIO RANCHO DENTAL ASSOCIATES (NPI 1972166262) is a healthcare organization registered as a general practice in Rio Rancho, New Mexico and active in the NPI registry since April 2019. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1972166262
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRANDE DENTISTRY LLC
Location Address2200 GRANDE BLVD SE STE ARio Rancho, NM 87124-1695
Mailing Address2200 Grande Blvd Se Ste ARio Rancho, NM 87124-1695 · (972) 869-3789
Phone(505) 891-1500
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateApril 22, 2019
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1972166262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2200 GRANDE BLVD SE STE A, Rio Rancho, NM 87124
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Other Names 1

Doing Business AsRio Rancho Dental Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DAVID CHODOSH DDS
Dentist
2200 GRANDE BLVD SE STE A
RIO RANCHO, NM 87124
Sandoval County (505) 891-1500
ROBERT W ASTLES DMD MAGD
Dentist
2200 GRANDE BLVD SE STE A
RIO RANCHO, NM 87124
Sandoval County (505) 891-1500
DALLIN GOMEZ DDS
Dentist (General Practice)
2200 GRANDE BLVD SE STE A
RIO RANCHO, NM 87124
Sandoval County (505) 891-1500

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 Grande Dentistry LLC's NPI number?

The NPI number for Grande Dentistry LLC is 1972166262. It was assigned to this organization in the NPPES registry on April 22, 2019. The provider is doing business as Rio Rancho Dental Associates.

Where is Grande Dentistry LLC located?

Grande Dentistry LLC is located at 2200 Grande Blvd SE Ste A, Rio Rancho, NM 87124. The listed phone number is (505) 891-1500.

What is Grande Dentistry LLC'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 Grande Dentistry LLC was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.