# RIO GRANDE DENTAL ASSOCIATES

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578684205
- **Authorized official:** DR. MICHAEL H RIVERA D.D.S. (GENERAL MANAGER & PARTNER)
- **Authorized official phone:** (505) 758-0531

## Contact information

- **Practice address:** 107 PLAZA GARCIA, \#E-10, TAOS, NM 87571-6256
- **Practice address phone:** (505) 758-0531
- **Mailing address:** 107 PLAZA GARCIA, \#E-10, TAOS, NM 87571-6256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1670 | NM | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020