SANDIA PEAK DENTAL LLC NPI 1053901447

NPI Information

NPI: 1053901447
Provider Name: SANDIA PEAK DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8000 EUBANK BLVD NE
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 298-6732
Get Directions

SANDIA PEAK DENTAL, LLC is a dental clinic center in Albuquerque, NM. SANDIA PEAK DENTAL, LLC NPI is 1053901447. The provider is registered as an organization entity type.

The provider's business location address is:

8000 EUBANK BLVD NE
ALBUQUERQUE, NM
ZIP 87122-225
Phone: (505) 298-6732
Fax: (505) 275-9976

The provider's authorized official is Jansen Donoghue .
The authorized official title is Member and has the following contact phone number (505) 298-6732.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.

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
1	261Q00000X	Clinic/Center				No
2	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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