IndividualActive
John Paul, DDS
NPI 1497742654 · General Practice Dentistry · Kirtland Afb, NM
Provider details
- NPI number
- 1497742654
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 14971 (TX)
Specialties & taxonomies
Dental Providers
Practice location
2050 a Second St. Se
377 Mdg
Kirtland Afb, NM 87117-5522
Phone: (505) 846-3055
Approximate (ZIP-level) locationGet directions
Mailing address
2050 a Second St. Se
Kirtland Afb, NM 87117-5522
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2008-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.