OUTREACH DENTAL, LLC
NPI 1982033700
Dentist in Gallup, NM

Q: What is Outreach Dental, LLC's NPI number?

The NPI number for Outreach Dental, LLC is 1982033700. It was assigned to this organization in the NPPES registry on November 2, 2013.

Q: What is Outreach Dental, LLC's specialty?

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

Active since November 02, 2013

1700 HELENA DR, GALLUP, NM 87301(505) 863-7887(505) 863-7887 Get Directions Write a Review

NPPES record last updated: November 2, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Outreach Dental, Llc NPPES

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

OUTREACH DENTAL, LLC (NPI 1982033700) is a healthcare organization registered as a dentist in Gallup, New Mexico and active in the NPI registry since November 2013. The organization lists Stephen Scot Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1982033700

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameOUTREACH DENTAL, LLC

Location Address1700 HELENA DRGallup, NM 87301-5610

Mailing AddressPo Box 969Gallup, NM 87305-0969 · (505) 863-7887 · Fax (505) 863-7887

Phone(505) 863-7887

Fax(505) 863-7887

Organization SubpartNo

Authorized OfficialStephen Scot GrahamOwner · (505) 863-7887

Enumeration DateNovember 2, 2013

✔ NPI 1982033700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD1995

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.

1700 HELENA DR, Gallup, NM 87301

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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

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 Outreach Dental, LLC's NPI number?

The NPI number for Outreach Dental, LLC is 1982033700. It was assigned to this organization in the NPPES registry on November 2, 2013.

Where is Outreach Dental, LLC located?

Outreach Dental, LLC is located at 1700 Helena Dr, Gallup, NM 87301. The listed phone number is (505) 863-7887.

What is Outreach Dental, 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 Outreach Dental, LLC was last updated on November 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.