IndividualActive
Gerard Desantis, DMD
NPI 1124135553 · Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1124135553
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DD2799 (NM)
Specialties & taxonomies
Dental Providers
Practice location
2116 Hinkle St Se
Albuquerque, NM 87102-4930
Phone: (505) 843-7493
Fax: (505) 843-7581
Approximate (ZIP-level) locationGet directions
Mailing address
2116 Hinkle St Se
Albuquerque, NM 87102-4930
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.