Organization
EASTERN NEW MEXICO ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD RICKY SOUTHARD FACHE, FHFMA (ADMINISTRATOR)
(806) 797-4455
Entity
Organization
Contact information
Practice address
2000 W 21ST ST, SUITE L1, CLOVIS, NM 88101-4087
(575) 762-8000
(575) 763-0418
Mailing address
2000 W 21ST ST, SUITE L1, CLOVIS, NM 88101-4087
(575) 762-8000
(575) 763-0418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us