Provider Demographics
NPI:1376099499
Name:DENTAL PARTNERS OF SANTA FE LLC
Entity Type:Organization
Organization Name:DENTAL PARTNERS OF SANTA FE LLC
Other - Org Name:COMFORT DENTAL OF SANTA FE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-842-7023
Mailing Address - Street 1:3811 CERRILLOS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-4112
Mailing Address - Country:US
Mailing Address - Phone:303-842-7023
Mailing Address - Fax:
Practice Address - Street 1:3811 CERRILLOS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4112
Practice Address - Country:US
Practice Address - Phone:303-842-7023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty