Healthcare Provider Details

I. General information

NPI: 1679122600
Provider Name (Legal Business Name): ALBA SONNE CHAPMAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALBA MELISSA NUNEZ GARCIA DDS

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3875 CERRILLOS RD
SANTA FE NM
87507-4145
US

IV. Provider business mailing address

3875 CERRILLOS RD
SANTA FE NM
87507-4145
US

V. Phone/Fax

Practice location:
  • Phone: 505-428-6084
  • Fax:
Mailing address:
  • Phone: 505-428-6084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDD5241
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: