COTTONWOOD SMILES DENTISTRY AND ORTHODONTICS, LLC


Address: 3400 New Mexico 528 Nw Suite A107, Albuquerque, NM 87114
Phone: 5052441111

COTTONWOOD SMILES DENTISTRY AND ORTHODONTICS, LLC (NPI# 1003168022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003168022
Entity Type Organization
Organization Name COTTONWOOD SMILES DENTISTRY AND ORTHODONTICS, LLC
Other Organization Name COTTONWOOD SMILES DENTISTRY AND ORTHODONTICS
Practice Address 3400 New Mexico 528 Nw Suite A107
Albuquerque
NM 87114
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Practice Telephone 5052441111
Practice Fax Number 5052441112
Mailing Telephone 7148458890
Mailing Fax Number 9494741495
Enumeration Date 2012-10-15
Last Update Date 2014-08-05
Authorized Official Name DR. KATIE L MCCANN (OWNER DOCTOR)
Authorized Official Telephone 5052441111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Cottonwood Smiles Dentistry and Orthodontics Doing Business As Name - Organization

Office Location

Street Address 3400 NEW MEXICO 528 NW SUITE A107
City ALBUQUERQUE
State NM
Zip Code 87114

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NPI Name Taxonomy Address Enumeration
1891331773 Head To Toe Wellness, LLC Counselor 4619 Greene Ave, Suite D, Albuquerque, NM 87114 2019-11-26
1255896353 32 Degrees Genuine, LLC Counselor 10143 4th St Nw, Albuquerque, NM 87114 2019-02-04
1548789365 Maureen Chavez Occupational Therapist 10501 Golf Course, Albuquerque, NM 87114 2017-09-13
1982149043 Professional Case Coordination Services LLC Case Management 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 2016-12-28
1124494323 Geri Davis Nurse Practitioner 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 2015-08-11
1427432111 Marcia Nicole Cowen Nurse Practitioner 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 2015-07-13
1013315399 Amy Brown Counselor 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 2014-12-18
1851793392 Elaine Barbara Beckett Pharmacist 10224 Coors-by-pass Nw, Albuquerque, NM 87114 2014-09-16
1174924344 Sherrica Cressor Counselor 20 Pond Road, County Road 11, Cuba, NM 87114 2014-09-08
1427467513 Colleen Temkin Pharmacist 10224 Coors By Pass Nw, Albuquerque, NM 87114 2014-08-04
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457959934 Comfortable Dentistry 4u - Cottonwood, LLC Dentist 3613 Nm 528 Nw Ste D, Albuquerque, NM 87114-8918 2020-10-15
1932729506 Brenda Concepcion Acosta Dentist Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 2020-04-23
1942833199 Salud Dental Group Albuquerque Dentist 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 2020-02-17
1285112748 Wesley Ross Hanchett Dentist 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 2018-08-06
1679050942 Comfortable Dentistry 4u LLC Dentist 9204 Menaul Blvd Ne Ste 3, Albuquerque, NM 87112-2201 2018-07-19
1649756206 Brandon Wade Terhune Dentist 7520 Montgomery Blvd Ne Bldg E12, Albuquerque, NM 87109-1586 2018-07-17
1417443276 Kyle Thomas Lantz Dentist 2800-a Coors Blvd Nw, Albuquerque, NM 87120 2018-07-05
1669967063 Gabriele E Mccomas Dentist 5000 Menaul Boulevard, Suite B, Albuquerque, NM 87110-3046 2018-06-27
1699266106 Michael Thomas Lauer Dentist 120 98th St Sw Suite C-3, Albuquerque, NM 87121 2018-05-21
1154838266 Dr Barney W Carter Dmd PC Dentist 3900 Eubank Blvd Ne Ste 19, Albuquerque, NM 87111-3427 2018-01-10
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Competitor

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City ALBUQUERQUE
Zip Code 87114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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