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GREGORY R MCALLISTER DDS LLC NPI 1871961045


NPI Information

NPI: 1871961045
Provider Name: GREGORY R MCALLISTER, DDS, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5910 CUBERO DR NE STE B
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 243-7655
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GREGORY R MCALLISTER, DDS, LLC is a dental clinic center in Albuquerque, NM. GREGORY R MCALLISTER, DDS, LLC NPI is 1871961045. The provider is registered as an organization entity type.

The provider's business location address is:

5910 CUBERO DR NE STE B
ALBUQUERQUE, NM
ZIP 87109-868
Phone: (505) 243-7655

The provider's authorized official is Sonjia Mace .
The authorized official title is Office Manager and has the following contact phone number (505) 243-7655.

The enumeration date for this NPI number is 9/4/2015 and was last updated on 9/4/2015.


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
1261QD0000XClinic/CenterDental1837NEW 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
109555374MEDICAIDNEW 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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