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PEDIATRIC AND SPECIAL CARE DENTISTRY NPI 1437427929


NPI Information

NPI: 1437427929
Provider Name: PEDIATRIC AND SPECIAL CARE DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6800 MONTGOMERY BLVD NE
SUITE F
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 883-7262
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PEDIATRIC AND SPECIAL CARE DENTISTRY is a pediatric dentistry dentist in Albuquerque, NM. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC AND SPECIAL CARE DENTISTRY NPI is 1437427929. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6800 MONTGOMERY BLVD NE
SUITE F
ALBUQUERQUE, NM
ZIP 87109-405
Phone: (505) 883-7262
Fax: (505) 883-4563

The provider's authorized official is Robert F Belfon .
The authorized official title is Pediatric Dentist and has the following contact phone number (505) 883-7262.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 12/12/2011.


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
11223P0221XDentistPediatric Dentistry1860NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H8875MEDICAIDNEW MEXICO

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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