Southern Blvd Dental Corp, PA
NPI 1316963739 · General Practice Dentistry · Rio Rancho, NM
Southern Blvd Dental Corp, PA is a General Practice Dentistry organization in Rio Rancho, NM (NPI 1316963739).
Provider details
- NPI number
- 1316963739
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Martin Goebbel, President/Owner(505) 892-8600
- License
- DD1523 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southern Blvd Dental Corp, PA's NPI number?
- Southern Blvd Dental Corp, PA's National Provider Identifier (NPI) is 1316963739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Blvd Dental Corp, PA?
- Southern Blvd Dental Corp, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southern Blvd Dental Corp, PA located?
- Southern Blvd Dental Corp, PA's practice location on file with NPPES is 2716 Southern Blvd Se, Rio Rancho, NM 87124-3741.
- What is Southern Blvd Dental Corp, PA's phone number?
- The practice phone number listed in the NPPES registry for Southern Blvd Dental Corp, PA is (505) 892-8600.
- Who is the authorized official for Southern Blvd Dental Corp, PA?
- The authorized official listed on Southern Blvd Dental Corp, PA's NPPES record is Martin Goebbel, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Blvd Dental Corp, PA's NPI active?
- Yes — Southern Blvd Dental Corp, PA's NPI (1316963739) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.