OrganizationActive
Santa Fe Oral Surgery, LLC
NPI 1508287541 · Oral and Maxillofacial Surgery (Dentist) · Santa Fe, NM
Provider details
- NPI number
- 1508287541
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Rebecca Martinez, Practice Manager(505) 984-0694
- License
- DD3886 (NM)
Specialties & taxonomies
Dental Providers
Practice location
2100 Calle Dela Vueila Ste B103
B103
Santa Fe, NM 87505-4749
Phone: (505) 984-0694
Fax: (505) 983-3270
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Calle Dela Vueila Ste B103
Santa Fe, NM 87505-4749
Other names (DBA / former)
- Other name
- Sante Fe Oral Surgery LLC
Registry dates
- Enumerated
- 2013-12-17
- Last updated
- 2019-12-26
- Certified
- 2019-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.