Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013976232 Individual Practitioner Male Practitioner

Dr. Peter John Debuck , DMD

Dentist - General Practice • Farmington, NM

Professional Overview & Biography Verified Profile Summary

Dr. Peter Debuck, DMD is a registered healthcare professional specializing in Dentist - General Practice in Farmington, NM. Practice services are available at 3501 N BUTLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3501 N Butler Ave

Farmington, NM 874016429

Telephone 5059181531

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Farmington, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
35 Specialists

Practicing in Farmington, NM (761 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DD2705

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 332849

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
93429266 (NM)
Medicaid State Provider ID
9180523 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Justin Ewell , DMD

Dentist - General Practice

NPI 1033568688

Doctor of Dental Medicine

Teisha South , PTA

Physical Therapy Assistant

NPI 1396106720

Physical Therapist Assistant

Dr. Joshua Balzen , DDS

Dentist - General Practice

NPI 1689556821

Doctor of Dental Surgery

Andrew Hauser , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1801046024

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

NPI 1811020316

Doctor of Dental Medicine

Tina Benally , AT

Specialist/Technologist - Athletic Trainer

NPI 1942440821

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 10, 2022

Registered at 3501 N BUTLER AVE, FARMINGTON, NM 874016429 (Tel: 5059181531)

📍
Updated Business Mailing Address March 10, 2022

Registered at 3501 N BUTLER AVE, FARMINGTON, NM 874016429 (Tel: 5059181531)

👤
Provider Name / Credentials Updated March 10, 2022

Recorded as PETER DEBUCK, DMD

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 201 SAN PEDRO DR SE, SUITE B-2, ALBUQUERQUE, NM 871083009 (Tel: 5052325437)

📍
Updated Business Mailing Address July 09, 2007

Registered at 415 N GRAND AVE, PUEBLO, CO 810033111 (Tel: 7195463333)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PETER DEBUCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DD2705 in NM)

🟢
Initial NPI Registration & Enumeration March 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013976232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: March 10, 2022
Sole Proprietor: Yes

Mailing Address

3501 N Butler Ave

Farmington, NM 874016429

Phone: 5059181531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.