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HAGGERTY DENTAL LLC NPI 1780103895


NPI Information

NPI: 1780103895
Provider Name: HAGGERTY DENTAL LLC

Doing Business As: HAGGERTY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5124 ZUNI RD SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 268-3384
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HAGGERTY DENTAL LLC is a general practice dentist in Albuquerque, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HAGGERTY DENTAL LLC NPI is 1780103895. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Haggerty Dental.

The provider's business location address is:

5124 ZUNI RD SE
ALBUQUERQUE, NM
ZIP 87108-833
Phone: (505) 268-3384
Fax: (505) 265-5554

The provider's authorized official is Brett Ryan Haggerty .
The authorized official title is Owner/ Partner and has the following contact phone number (505) 268-3384.

The enumeration date for this NPI number is 9/11/2017 and was last updated on 7/21/2022.


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
11223G0001XDentistGeneral PracticeDD4701NEW MEXICOYes

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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