Sundance Dental Care of Gallup
NPI 1235406927ActiveOrganization· Dentist, General Practice· Gallup, NM
Dentist, General Practice in Gallup, New Mexico, registered in NPPES in November 2011. The authorized official on file is Bruce B. Shaheen, DDS, Dentist/Owner.
Overview
| NPI | 1235406927 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2011 |
| Last updated in NPPES | Dec 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DD3503 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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