OrganizationActive
San Miguel Dental
NPI 1033400601 · General Practice Dentistry · Las Vegas, NM
San Miguel Dental is a General Practice Dentistry organization in Las Vegas, NM (NPI 1033400601).
Provider details
- NPI number
- 1033400601
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Wilfred Pacheco, Owner(505) 425-6434
- License
- DD1606 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2503 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone: (505) 425-6434
Fax: (505) 425-6464
Approximate (ZIP-level) locationGet directions
Mailing address
2503 Ridge Runner Rd
Las Vegas, NM 87701-4972
Registry dates
- Enumerated
- 2011-04-29
- Last updated
- 2011-04-29
Frequently asked questions
- What is San Miguel Dental's NPI number?
- San Miguel Dental's National Provider Identifier (NPI) is 1033400601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Miguel Dental?
- San Miguel Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is San Miguel Dental located?
- San Miguel Dental's practice location on file with NPPES is 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972.
- What is San Miguel Dental's phone number?
- The practice phone number listed in the NPPES registry for San Miguel Dental is (505) 425-6434.
- Who is the authorized official for San Miguel Dental?
- The authorized official listed on San Miguel Dental's NPPES record is Wilfred Pacheco, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Miguel Dental's NPI active?
- Yes — San Miguel Dental's NPI (1033400601) is active in the NPPES registry as of the last update on 2011-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.