OrganizationActive
Collins Dental
NPI 1740484641 · General Practice Dentistry · Santa Rosa, NM
Provider details
- NPI number
- 1740484641
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Raymond Collins, President(505) 718-6899
- License
- DD2208 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1000 Blue Hole Rd
Santa Rosa, NM 88435-2533
Phone: (505) 718-6899
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Blue Hole Rd
Santa Rosa, NM 88435-2533
Other names (DBA / former)
- Doing business as
- Deep Blue Dental
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.