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“Dentist” (Cannon Afb, NM)

Location: Cannon Afb, NM
Taxonomy: Dentist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1104503218 — DUSTIN YORK
Practice Location Address:
224 W D.L. INGRAM AVE, BLDG 1408
CANNON AFB NM
88103-5103
Practice Phone: 575-784-2778
1154094159 — DR. DANIEL LEE TANNEN DDS
Practice Location Address:
224 W D.L. INGRAM AVENUE, BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 575-784-4041
1205687662 — KELLY AMANDA SCHNEIDER DDS
Practice Location Address:
224 W D. L. INGRAM AVENUE BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 920-973-8885

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