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ALBUQUERQUE DENTIST OFFICE LLC NPI 1558753236


NPI Information

NPI: 1558753236
Provider Name: ALBUQUERQUE DENTIST OFFICE, LLC

Doing Business As: ALBUQUERQUE DENTIST OFFICE, LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10221 CENTRAL AVE NE
103
ALBUQUERQUE, NM
ZIP 87123
Phone: (505) 918-9189
Get Directions

ALBUQUERQUE DENTIST OFFICE, LLC is a general practice dentist in Albuquerque, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ALBUQUERQUE DENTIST OFFICE, LLC NPI is 1558753236. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Albuquerque Dentist Office, Llc.

The provider's business location address is:

10221 CENTRAL AVE NE
103
ALBUQUERQUE, NM
ZIP 87123-733
Phone: (505) 918-9189
Fax: (505) 918-9175

The provider's authorized official is Kelley Hollingsworth Ryals .
The authorized official title is Owner Doctor and has the following contact phone number (505) 918-9189.

The enumeration date for this NPI number is 3/4/2015 and was last updated on 3/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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