Dr. Galen Detrik Hartenberger
Dentist - General Practice
200 Manzanares Ave E
Socorro
, New Mexico 87801-4215
Dr. Galen Detrik Hartenberger
Dentist - General Practice
200 Manzanares Ave E
Socorro
, New Mexico 87801-4215
(505) 331-3517
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Galen Detrik Hartenberger
- 8 Homesteads Rd
- Placitas, NM
- Zip : 87043-9230
- Phone : (505) 331-3517
Second Address
- Dr. Galen Detrik Hartenberger
- 200 Manzanares Ave E
- Socorro, NM
- Zip : 87801-4215
- Phone : (575) 835-3662
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Is Dr. Galen Detrik Hartenberger a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DD3909 | NM |
| Y | 213EG0000X | General Practice | DD3909 | NM |
National Provider Identifier
| NPI | 1003257981 |
|---|---|
| Provider Name | Dr. Galen Detrik Hartenberger |
| First Address | Placitas, NM 87043-9230 |
| Second Address | Socorro, NM 87801-4215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2013 |
| Last Update Date | 09/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.