OrganizationActive
Sundance Dental Care of Gallup
NPI 1235406927 · General Practice Dentistry · Gallup, NM
Sundance Dental Care of Gallup is a General Practice Dentistry organization in Gallup, NM (NPI 1235406927).
Provider details
- NPI number
- 1235406927
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bruce Shaheen, Dentist/Owner(505) 722-4422
- License
- DD3503 (NM)
Practice location
1601 S Second St
Gallup, NM 87301-5816
Phone: (505) 722-4422
Fax: (505) 722-2060
Street-level locationGet directions
Mailing address
1601 S Second St
Gallup, NM 87301-5816
Registry dates
- Enumerated
- 2011-11-23
- Last updated
- 2016-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.