Provider Demographics
NPI:1265766927
Name:DENTISTRY DIVINE SMILE, INC.
Entity type:Organization
Organization Name:DENTISTRY DIVINE SMILE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:575-544-8381
Mailing Address - Street 1:119 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DEMING
Mailing Address - State:NM
Mailing Address - Zip Code:88030-3410
Mailing Address - Country:US
Mailing Address - Phone:575-544-8381
Mailing Address - Fax:575-546-0410
Practice Address - Street 1:119 N 8TH ST
Practice Address - Street 2:
Practice Address - City:DEMING
Practice Address - State:NM
Practice Address - Zip Code:88030-3410
Practice Address - Country:US
Practice Address - Phone:575-544-8381
Practice Address - Fax:575-546-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty