Whalio Doctors

NPI 1013574896

Derek R Preble, DMD

Practitioner General Practice Dentistry Santa Fe, NM

Practice location

Address
3875 Cerrillos Rd, Santa Fe, NM 87507-4145
Phone
(801) 971-5881
Mailing address
4460 S Roger Dr, Salt Lake City, UT 84124-3847

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 5991972-9922 (UT)

Registry record

NPI
1013574896
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 May 2019
Record last updated
28 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.