MEDICARE: COLLINS DENTAL

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	1223G0001X	General Practice Dentistry	DD2208	NM
2	1223G0001X	General Practice Dentistry	DD2469	NM

General Provider Information

NPI Number	:	1740484641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLINS DENTAL

Provider Business Mailing Address
First Line	:	1000 BLUE HOLE RD
Second Line	:
City	:	SANTA ROSA
State	:	NM
Zip	:	88435-2533
Country	:	US
Telephone Number	:	505-718-6899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 BLUE HOLE RD
Second Line	:
City	:	SANTA ROSA
State	:	NM
Zip	:	88435-2533
Country	:	US
Telephone Number	:	505-718-6899
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAYMOND FRANK COLLINS
Credential	:	DDS
Telephone Number	:	505-718-6899

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1427032671 — RAYMOND F COLLINS DDS
Practice Location Address:

1000 BLUE HOLE DRIVE
SANTA ROSA, NM
88435-2533

Practice Phone: 505-718-6899
Practice Fax:

1225182710 — DR. KATRINA LOUISE LUERAS-COLLINS D.D.S
Practice Location Address:

1000 BLUE HOLE RD
SANTA ROSA, NM
88435-2533

Practice Phone: 505-718-6899
Practice Fax:

1104983238 — MR. CONRAD E. LARKIN L.C.S.W.
Practice Location Address:

924 LANGEBURG ST
SANTA ROSA, CA
95407-2533

Practice Phone: 707-566-7570
Practice Fax:

1750676185 — MICHELLE RENEE LEWIS LPN
Practice Location Address:

13539 SANTA ROSA DR , SUITE 343
DETROIT, MI
48238-2533

Practice Phone: 248-434-7426
Practice Fax:

1952340473 — HOWARD ALAN HAMBURGER
Practice Location Address:

3122 SANTA MONICA BLVD , STE 101
SANTA MONICA, CA
90404-2533

Practice Phone: 310-310-3989
Practice Fax: 310-310-3129

1124058540 — MRS. TERRY ANN GARCIA LCSW
Practice Location Address:

12627 SANTA GERTRUDES AVE , STE B
LA MIRADA, CA
90638-2533

Practice Phone: 714-905-2669
Practice Fax: 562-947-8839

Directions to “COLLINS DENTAL ” 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.