IndividualActive
Nick Desantis
NPI 1679606834 · General Practice Dentistry · Gallup, NM
Nick Desantis is a General Practice Dentistry provider in Gallup, NM (NPI 1679606834).
Provider details
- NPI number
- 1679606834
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1345 (NM)
Practice location
1801 Redrock Dr
Gallup, NM 87301-5655
Phone: (505) 863-4457
Fax: (505) 722-4310
Street-level locationGet directions
Mailing address
1801 Redrock Dr
Gallup, NM 87301-5655
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.