MEDICARE: JADA DANIEL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9476	NC
2	390200000X	Student in an Organized Health Care Education/Training Program
3	122300000X	Dentist	DD5569	NM

General Provider Information

NPI Number	:	1376808196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADA DANIEL DDS

Provider Business Mailing Address
First Line	:	106 RANCHO VIEJO BLVD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87508-1553
Country	:	US
Telephone Number	:	919-923-2721
Fax Number	:

Provider Business Practice Location Address
First Line	:	3569 ZAFARANO DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-2618
Country	:	US
Telephone Number	:	505-986-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	04/20/2022

Similar Medicare Providers

1912195462 — DR. CARL COLLIN FAIRCHILD PHARMD, DDS
Practice Location Address:

3569 ZAFARANO DR
SANTA FE, NM
87507-2618

Practice Phone: 480-280-0669
Practice Fax: 480-821-5111

1952145666 — LEEANN NOLAN DMD
Practice Location Address:

3569 ZAFARANO DR
SANTA FE, NM
87507-2618

Practice Phone: 505-986-8000
Practice Fax:

1326489873 — PROGRESSIVE RESOURCES, INC
Practice Location Address:

9280 SANTA FE SPRINGS RD
SANTA FE SPRINGS, CA
90670-2618

Practice Phone: 562-665-1424
Practice Fax: 562-946-3539

1083596035 — MELISSA DURAN QUINTANA
Practice Location Address:

501 SANTA FE DR
LEXINGTON, NE
68850-2618

Practice Phone: 984-309-8106
Practice Fax:

1275525255 — DR. MARIA DEL C. IGUINA M.D.
Practice Location Address:

25 CALLE BETANCES
SANTA ISABEL, PR
00757-2618

Practice Phone: 787-845-2190
Practice Fax: 787-845-2254

1619969698 — DR. JULIO A. PEGUERO RIVERA M.D.
Practice Location Address:

25 CALLE BETANCES
SANTA ISABEL, PR
00757-2618

Practice Phone: 787-845-2190
Practice Fax: 787-845-2254

Directions to “ JADA DANIEL DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.