Nick A. Desantis

General Practice Dentistry · Gallup, NM

Individual Active NPI

NPI number 1679606834

Practice location

1801 Redrock Dr
Gallup, NM 87301-5655
Phone
(505) 863-4457
Fax
(505) 722-4310

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NPI record

NPI
1679606834
Entity type
Individual (Type 1)
Enumeration date
March 14, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1345 NM

About Nick Desantis

Nick A. Desantis is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1801 Redrock Dr, Gallup, NM 87301-5655. The NPI number 1679606834 was assigned on March 14, 2007 and the record was last updated on July 8, 2007.

Nick Desantis lists a license in the registry: #1345 (NM) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nick A. Desantis?

The NPI number is 1679606834.

What is the phone number of Nick Desantis?

The phone number listed for the practice location is (505) 863-4457.

Where is Nick Desantis located?

1801 Redrock Dr, Gallup, NM 87301-5655.

What is the taxonomy code for Nick Desantis?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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