OrganizationActive
6588 East Main Farmington LLC
NPI 1154934818 · General Practice Dentistry · Farmington, NM
6588 East Main Farmington LLC is a General Practice Dentistry organization in Farmington, NM (NPI 1154934818).
Provider details
- NPI number
- 1154934818
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Pam Draper, Office Manager(505) 326-6800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
6588 E Main St
Farmington, NM 87402-5122
Phone: (505) 326-6800
Fax: (505) 326-6820
Street-level locationGet directions
Mailing address
6588 E Main St
Farmington, NM 87402-5122
Other names (DBA / former)
- Doing business as
- Sundance Dental of Country Club
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Frequently asked questions
- What is 6588 East Main Farmington LLC's NPI number?
- 6588 East Main Farmington LLC's National Provider Identifier (NPI) is 1154934818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 6588 East Main Farmington LLC?
- 6588 East Main Farmington LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 6588 East Main Farmington LLC located?
- 6588 East Main Farmington LLC's practice location on file with NPPES is 6588 E Main St, Farmington, NM 87402-5122.
- What is 6588 East Main Farmington LLC's phone number?
- The practice phone number listed in the NPPES registry for 6588 East Main Farmington LLC is (505) 326-6800.
- Who is the authorized official for 6588 East Main Farmington LLC?
- The authorized official listed on 6588 East Main Farmington LLC's NPPES record is Pam Draper, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 6588 East Main Farmington LLC's NPI active?
- Yes — 6588 East Main Farmington LLC's NPI (1154934818) is active in the NPPES registry as of the last update on 2020-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.