Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891102752 Individual Practitioner Male Practitioner

Dr. Nicholas Richard Withem , DMD

Dentist • Farmington, NM

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Withem, DMD is a registered healthcare professional specializing in Dentist in Farmington, NM. Practice services are available at 6588 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6588 E Main St

Farmington, NM 874025122

Telephone 5053266800
Associated Practice Facility / Clinic
🏢 Sundance Family Dental Facility NPI 1851567317

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Farmington, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Farmington, NM (630 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D009005

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1053084095
Steve Sullivan , RDH

Dental Hygienist

NPI 1093908188

Registered Dental Hygienist

NPI 1174723365
Lisa Mcclain

Dental Hygienist

NPI 1184796278
Dr. Theron Burk , DMD

Dentist - General Practice

NPI 1285869792

Doctor of Dental Medicine

Yvette Tafoya , RDH

Dental Hygienist

NPI 1326104266

Registered Dental Hygienist

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2017

Registered at 6588 E MAIN ST, FARMINGTON, NM 874025122 (Tel: 5053266800)

📍
Updated Business Mailing Address December 18, 2017

Registered at 6588 E MAIN ST, FARMINGTON, NM 874025122 (Tel: 8057293413)

👤
Provider Name / Credentials Updated December 18, 2017

Recorded as NICHOLAS WITHEM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2017

Dentist (License #D009005 in AZ)

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2014

Registered at 1851 E BASELINE RD, #103, GILBERT, AZ 852331536 (Tel: 8057295390)

📍
Updated Business Mailing Address July 11, 2014

Registered at 1851 E BASELINE RD, #103, GILBERT, AZ 852331536 (Tel: 8057295390)

👤
Provider Name / Credentials Updated July 11, 2014

Recorded as NICHOLAS WITHEM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Dentist (License #D009005 in AZ)

🟢
Initial NPI Registration & Enumeration July 11, 2014

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: 1891102752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2014
Last Update: December 18, 2017
Sole Proprietor: No

Mailing Address

6588 E Main St

Farmington, NM 874025122

Phone: 8057293413

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.