UNM MEDICAL GROUP INC NPI 1770879694

NPI Information

NPI: 1770879694
Provider Name: UNM MEDICAL GROUP INC

Doing Business As: UNM DENTAL SERVICES - CAMINO DE SALUD AMBULATORY SURGICAL CENTER

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 32D2030128

Address:
1801 CAMINO DE SALUD NE
SUITE 1100
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 925-4301
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UNM MEDICAL GROUP INC is a dental clinic center in Albuquerque, NM. UNM MEDICAL GROUP INC NPI is 1770879694. The provider is registered as an organization entity type.
The provider Is Doing Business As Unm Dental Services - Camino De Salud Ambulatory Surgical Center.

The provider's business location address is:

1801 CAMINO DE SALUD NE
SUITE 1100
ALBUQUERQUE, NM
ZIP 87102-516
Phone: (505) 925-4301

The provider's authorized official is Gary Cuttrell .
The authorized official title is Chief Assistant Professor and has the following contact phone number (505) 272-1161.

The CLIA number assigned to this NPI record is 32D2030128 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2011 and was last updated on 1/23/2013.

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			Yes

What is NPI?

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

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