WESTSIDE ORAL SURGERY PC NPI 1013169614

NPI Information

  • NPI: 1013169614
  • Provider Name: WESTSIDE ORAL SURGERY, PC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 1628 ALAMEDA BLVD NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Phone: (505) 899-6979

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NPI Details

WESTSIDE ORAL SURGERY, PC is an oral and maxillofacial surgery clinic center in Albuquerque, NM. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. WESTSIDE ORAL SURGERY, PC NPI is 1013169614. The provider is registered as an organization entity type.

The provider's business location address is:

1628 ALAMEDA BLVD NW
ALBUQUERQUE, NM
ZIP 87114-807
Phone: (505) 899-6979
Fax: (505) 899-6980

The provider's authorized official is Christopher J Larmour .
The authorized official title is Owner and has the following contact phone number (505) 899-6979.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/15/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryDD2870NEW MEXICOYes

What is NPI?

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This page was last updated on: 3/30/2025

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