OrganizationActive
Clovis Hospital Dentistry PC
NPI 1083968077 · General Practice Dentistry · Clovis, NM
Clovis Hospital Dentistry PC is a General Practice Dentistry organization in Clovis, NM (NPI 1083968077).
Provider details
- NPI number
- 1083968077
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Falon Waisath, President(575) 763-9382
- License
- DD3553 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2100 N Martin Luther King Jr. Blvd
Clovis, NM 88101
Phone: (575) 763-9382
Street-level locationGet directions
Mailing address
1552 Bosc Ct
Clovis, NM 88101-2334
Registry dates
- Enumerated
- 2012-10-30
- Last updated
- 2012-10-30
Frequently asked questions
- What is Clovis Hospital Dentistry PC's NPI number?
- Clovis Hospital Dentistry PC's National Provider Identifier (NPI) is 1083968077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clovis Hospital Dentistry PC?
- Clovis Hospital Dentistry PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Clovis Hospital Dentistry PC located?
- Clovis Hospital Dentistry PC's practice location on file with NPPES is 2100 N Martin Luther King Jr. Blvd, Clovis, NM 88101.
- What is Clovis Hospital Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Clovis Hospital Dentistry PC is (575) 763-9382.
- Who is the authorized official for Clovis Hospital Dentistry PC?
- The authorized official listed on Clovis Hospital Dentistry PC's NPPES record is Falon Waisath, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clovis Hospital Dentistry PC's NPI active?
- Yes — Clovis Hospital Dentistry PC's NPI (1083968077) is active in the NPPES registry as of the last update on 2012-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.