Embudo Dental Center LLC
NPI 1679017453 · Dental Clinic/Center · Embudo, NM
Embudo Dental Center LLC is a Dental Clinic/Center organization in Embudo, NM (NPI 1679017453).
Provider details
- NPI number
- 1679017453
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kellie Harris, Owner/Dentist(505) 579-4680
- License
- DD1074 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-12-13
- Last updated
- 2016-12-13
Frequently asked questions
- What is Embudo Dental Center LLC's NPI number?
- Embudo Dental Center LLC's National Provider Identifier (NPI) is 1679017453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Embudo Dental Center LLC?
- Embudo Dental Center LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Embudo Dental Center LLC located?
- Embudo Dental Center LLC's practice location on file with NPPES is 1102 State Highway 68, Embudo, NM 87531-0037.
- What is Embudo Dental Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Embudo Dental Center LLC is (505) 579-4680.
- Who is the authorized official for Embudo Dental Center LLC?
- The authorized official listed on Embudo Dental Center LLC's NPPES record is Kellie Harris, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Embudo Dental Center LLC's NPI active?
- Yes — Embudo Dental Center LLC's NPI (1679017453) is active in the NPPES registry as of the last update on 2016-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.