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Las Estancias Dental Group, Professional Corporation

NPI 1639537533ActiveOrganization· Dentist, General Practice· Albuquerque, NM

Dentist, General Practice in Albuquerque, New Mexico, registered in NPPES in February 2016. The authorized official on file is Mario Herrejon-Ruiz, DMD, Owner Dentist.

Overview

NPI1639537533
StatusActive
Entity typeOrganization
NPI issuedFeb 5, 2016
Last updated in NPPESFeb 5, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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 general dentists in Albuquerque

All 407 general dentists in Albuquerque · All general dentists in New Mexico