Organization
DENTISTRYONE OF NEW MEXICO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK WEIGAND DMD (OWNER)
(877) 712-7875
Entity
Organization
Contact information
Practice address
1704 LLANO ST STE B-1446, SANTA FE, NM 87505-5415
(877) 712-7875
Mailing address
20 HIGHLAND AVE, METUCHEN, NJ 08840-1949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
03/19/2024
Last updated
05/02/2025
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