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ALBUQUERQUE MODERN DENTISTS LLC NPI 1780957969


NPI Information

NPI: 1780957969
Provider Name: ALBUQUERQUE MODERN DENTISTS, LLC

Doing Business As: ALBUQUERQUE MODERN DENTISTS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6810 MENAUL BLVD NE
SUITE B
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 872-1100
Get Directions

ALBUQUERQUE MODERN DENTISTS, 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. ALBUQUERQUE MODERN DENTISTS, LLC NPI is 1780957969. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Albuquerque Modern Dentists.

The provider's business location address is:

6810 MENAUL BLVD NE
SUITE B
ALBUQUERQUE, NM
ZIP 87110-725
Phone: (505) 872-1100
Fax: (505) 872-0294

The provider's authorized official is Katie L Mccann .
The authorized official title is Owner and has the following contact phone number (505) 872-1100.

The enumeration date for this NPI number is 2/17/2012 and was last updated on 8/5/2014.


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 PracticeYes

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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