IndividualActive
Kaleb Madsen
NPI 1699664011 · General Practice Dentistry · Gallup, NM
Kaleb Madsen is a General Practice Dentistry provider in Gallup, NM (NPI 1699664011).
Provider details
- NPI number
- 1699664011
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DB-2025-0111 (NM)
Practice location
1601 S Second St
Gallup, NM 87301-5816
Phone: (505) 722-4422
Street-level locationGet directions
Mailing address
1104 Nevada Cir
Gallup, NM 87301-5433
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-01
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.