# HIGH DESERT DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** High Desert Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245506609
- **Authorized official:** DR. GARY M ROSS D.D.S.,F.A.G.D.,F.I. (PRESIDENT)
- **Authorized official phone:** (505) 888-2606

## Contact information

- **Practice address:** 6830 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1455
- **Practice address phone:** (505) 888-2606
- **Practice address fax:** (505) 837-1635
- **Mailing address:** 6830 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1455
- **Mailing address phone:** (505) 888-2606
- **Mailing address fax:** (505) 837-1635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD1387 | NM | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 03/29/2012