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Beckland Dental Kids of Farmington LLC — NPI 1104377811, Farmington, NM | NPI Central

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NPI 1104377811

OrganizationActive

Beckland Dental Kids of Farmington LLC

NPI 1104377811 · General Practice Dentistry · Farmington, NM

Provider details

NPI number: 1104377811
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Lisa Hodges, Operations Director(505) 787-2965
License: DD2872 (NM)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DD3385 (NM)
Dental Providers
General Practice Dentistry1223G0001XLicense DD2872 (NM)
Dental Providers

Practice location

3903 Beckland Dr

Farmington, NM 87402-4701

Phone: (505) 436-2735

Fax: (505) 436-2735

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

3909 Beckland Dr.

Farmington, NM 87402

Registry dates

Enumerated: 2016-10-18
Last updated: 2020-10-15
Certified: 2020-10-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.