C. MAHLON FRALEIGH DDS LLC NPI 1558709691

NPI Information

NPI: 1558709691
Provider Name: C. MAHLON FRALEIGH, DDS, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8400 OSUNA RD NE
STE 4-B
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 293-2644
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C. MAHLON FRALEIGH, DDS, LLC is a dental clinic center in Albuquerque, NM. C. MAHLON FRALEIGH, DDS, LLC NPI is 1558709691. The provider is registered as an organization entity type.

The provider's business location address is:

8400 OSUNA RD NE
STE 4-B
ALBUQUERQUE, NM
ZIP 87111-087
Phone: (505) 293-2644
Fax: (505) 293-2298

The provider's authorized official is Claud Mahlon Fraleigh .
The authorized official title is Owner and has the following contact phone number (505) 293-2644.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 6/11/2013.

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	261QD0000X	Clinic/Center	Dental	DD2619	NEW MEXICO	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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