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UNIVERSITY OF NEW MEXICO DENTAL SERVICES NPI 1841484763


NPI Information

NPI: 1841484763
Provider Name: UNIVERSITY OF NEW MEXICO DENTAL SERVICES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1801 CAMINO DE SALUD NE
SUITE 1200
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 925-7797
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UNIVERSITY OF NEW MEXICO DENTAL SERVICES 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. UNIVERSITY OF NEW MEXICO DENTAL SERVICES NPI is 1841484763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 CAMINO DE SALUD NE
SUITE 1200
ALBUQUERQUE, NM
ZIP 87102-001
Phone: (505) 925-7797
Fax: (505) 925-7800

The provider's authorized official is Gary Cuttrell .
The authorized official title is Chief Assistant Professor and has the following contact phone number (505) 925-7797.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 5/8/2012.


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 PracticeDD2136NEW 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
128601831MEDICAIDNEW 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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