OrganizationActive
Dental Innovations of Gallup
NPI 1528315074 · General Practice Dentistry · Gallup, NM
Dental Innovations of Gallup is a General Practice Dentistry organization in Gallup, NM (NPI 1528315074).
Provider details
- NPI number
- 1528315074
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Richard Baker, Owner(505) 863-4457
- License
- TD0029 (NM)
Practice location
214 W Aztec Ave
Gallup, NM 87301-6302
Phone: (505) 863-4457
Fax: (505) 722-4310
Street-level locationGet directions
Mailing address
214 W Aztec Ave
Gallup, NM 87301-6302
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2012-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.