# DESERT HILLS DENTAL GROUP

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

## Provider details

- **NPI number:** 1659387090
- **Authorized official:** DR. CHARLES MELLEN SCHUMACHER D.D.S. (OWNER)
- **Authorized official phone:** (505) 327-4863

## Contact information

- **Practice address:** 2525 E 30TH ST, FARMINGTON, NM 87401-4503
- **Practice address phone:** (505) 327-4863
- **Practice address fax:** (505) 327-5394
- **Mailing address:** 2525 E 30TH ST, FARMINGTON, NM 87401-4503
- **Mailing address phone:** (505) 327-4863
- **Mailing address fax:** (505) 327-5394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1586 | NM | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020