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Clovis Family Dentistry, LLC

NPI 1336505916ActiveOrganization· Clinic/Center, Dental· Clovis, NM

Clinic/Center, Dental in Clovis, New Mexico, registered in NPPES in January 2016. The authorized official on file is Julie D. Bridges, Member.

Overview

NPI1336505916
StatusActive
Entity typeOrganization
NPI issuedJan 12, 2016
Last updated in NPPESJan 12, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Dental Primary261QD0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center, Dental providers in Clovis

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