Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nick A Desantis

Individual provider General Practice Dentistry · NPI 1679606834

Dr. Nick A Desantis is a General Practice Dentistry in Gallup, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

1801 Redrock Dr
Gallup, NM 87301-5655
Phone: (505) 863-4457
Fax: (505) 722-4310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1345 (NM)

Record details

NPI number1679606834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 8, 2007

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