Healthcare Provider Details

I. General information

NPI: 1205746096
Provider Name (Legal Business Name): SIGNATURE ORAL SURGERY & IMPLANTS HOBBS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 W JOE HARVEY BLVD
HOBBS NM
88240-0907
US

IV. Provider business mailing address

1215 W JOE HARVEY BLVD
HOBBS NM
88240-0907
US

V. Phone/Fax

Practice location:
  • Phone: 575-408-8840
  • Fax: 575-408-8850
Mailing address:
  • Phone: 575-408-8840
  • Fax: 575-408-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: CABEL MCDONALD
Title or Position: OWNER / ORAL SURGEON
Credential: DDS
Phone: 253-459-5483