Healthcare Provider Details

I. General information

NPI: 1477481661
Provider Name (Legal Business Name): ROSALIE DAPHNE ESSIMI-MENYE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 S RICHARDS AVE
SANTA FE NM
87508-4887
US

IV. Provider business mailing address

6305 SHIPLETT BLVD
BURKE VA
22015-3418
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-4425
  • Fax:
Mailing address:
  • Phone: 571-721-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: