Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679606834 Individual Practitioner Male Practitioner

Nick A Desantis

Dentist - General Practice • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Nick Desantis is a registered healthcare professional specializing in Dentist - General Practice in Gallup, NM. Practice services are available at 1801 REDROCK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1801 Redrock Dr

Gallup, NM 873015655

Telephone 5058634457
Fax 5057224310
Associated Practice Facility / Clinic
🏢 Dental Innovations Of Gallup Facility NPI 1528315074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gallup, NM

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

Practicing in Gallup, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM 1345

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1215290044

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1801 REDROCK DR, GALLUP, NM 873015655 (Tel: 5058634457)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1801 REDROCK DR, GALLUP, NM 873015655 (Tel: 5058634457)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICK DESANTIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1345 in NM)

🟢
Initial NPI Registration & Enumeration March 14, 2007

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: 1679606834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1801 Redrock Dr

Gallup, NM 873015655

Phone: 5058634457

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.