NPI
Derrick Baca DDS LLC
NPI 1902214406
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2014-07-28
- Last updated
- 2014-07-28
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Specialties
Licenses
- License NM
- DD3492
Location
- Practice location
- 1209 Bonita St
- City
- Grants NM
- Postal code
- 87020-2103
- Phone
- (505) 876-4034
Organization contact
- Name
- Derrick Baca
- Title
- General Dentist
- Phone
- (505) 876-4034
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Grants, NM. 273 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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