# DEMING DENTAL SERVICES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326038563
- **Authorized official:** JAMES J. O'CONNELL D.D.S. (PRES. CORP.)
- **Authorized official phone:** (505) 546-2684

## Contact information

- **Practice address:** 400 S GOLD AVE, DEMING, NM 88030-4159
- **Practice address phone:** (505) 546-2684
- **Practice address fax:** (505) 546-1106
- **Mailing address:** 400 S GOLD AVE, DEMING, NM 88030-4159
- **Mailing address phone:** (505) 546-2684
- **Mailing address fax:** (505) 546-1106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1072 | NM | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 008656 | BLUE CROSS & BLUE SHIELD | NM |
| 01 | — | 3145509 | BLUE CROSS OF TENNESSEE | TN |
| 01 | — | 4908 | DORAL DENTAL | NM |
| 01 | — | 839147 | UNITED CONCORDIA | NM |
| 05 | — | 86546 | — | NM |