SearchNew MexicoGeneral Practice Dentistry

Su Maddy, DMD

NPI 1639854276 · on the registry since 2023 · sole proprietor

Practice

Address
821 Lexington Rd
Clovis, NM 88101
Phone
(575) 762-2355
Organisation at this address
Summit Imaging Llc
Summit Imaging Llc
Jeremy W Burgin, Dds
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-12
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico