OrganizationActive
Just for Grins
NPI 1801074257 · Pediatric Dentistry · Santa Fe, NM
Provider details
- NPI number
- 1801074257
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Prishkulnik, Owner(505) 428-7878
- License
- DD2707 (NM)
Specialties & taxonomies
Dental Providers
Practice location
1498 S Saint Francis Dr
Santa Fe, NM 87505-4038
Phone: (505) 428-7878
Approximate (ZIP-level) locationGet directions
Mailing address
490b W Zia Rd
Santa Fe, NM 87505-7008
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2008-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.