Eric Gordon Bruce, DDS

Dentist in Farmington, NM. Individual provider (NPI-1).

NPI number1992765671

StatusActive

Last updated in NPPESJul 13, 2026

Details

NPI: 1992765671
Entity type: Individual (NPI-1)
Name: Eric Gordon Bruce
Credential: DDS
Sex: Male
Sole proprietor: No
Enumeration date: Mar 25, 2006
Last updated: Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	DD2066	NM	Yes
122300000X	Dentist	H-D-A-04821	CO
122300000X	Dentist	4344	OK

Practice location

1009 Ridgeway Pl
Suite 100
Farmington, NM 87401-2092

Phone 505-599-9359 · Fax 505-599-8177

Mailing address

602 Aredo De Carlos
Farmington, NM 87401-4063

Phone 505-326-1125 · Fax 505-599-8177

Is something wrong?

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Other Dentist providers in Farmington, NM

All 42 Dentist providers in Farmington · All 2,079 providers in Farmington

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