STACEY MONTANO DDS LLC


Address: 3901 Georgia St Ne Ste G1, Albuquerque, NM 87110-1388
Phone: 5058883112

STACEY MONTANO DDS LLC (NPI# 1124512488) 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) 1124512488
Entity Type Organization
Organization Name STACEY MONTANO DDS LLC
Practice Address 3901 Georgia St Ne Ste G1
Albuquerque
NM 87110-1388
Practice Telephone 5058883112
Mailing Telephone 5058883112
Enumeration Date 2018-06-20
Last Update Date 2018-06-20
Authorized Official Name STACEY MONTANO (DENTIST/OWNER)
Authorized Official Telephone 5058883112
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
DD3304 NM Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM INDIVIDUAL NPI 1609187244 01

Office Location

Street Address 3901 GEORGIA ST NE STE G1
City ALBUQUERQUE
State NM
Zip Code 87110-1388

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1871042457 Dental House Trade Winds, LLC Clinic/Center 5400 Central Ave Se, Suite C-101, Albuquerque, NM 87108-1502 2016-09-24
1528437258 Anywhere Dental Care Clinic/Center 28 Canada De Los Alamos Trl Se, Albuquerque, NM 87123-9504 2015-09-23
1871961045 Gregory R Mcallister, Dds, LLC Clinic/Center 5910 Cubero Dr Ne Ste B, Albuquerque, NM 87109-3868 2015-09-04
1003299173 Sunshine Dental, PC Clinic/Center 10411 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 2015-07-07
1356690788 Alegre Dental Clinic/Center 2116 Vista Oeste Nw #202, Albuquerque, NM 87120 2012-08-30
1215243985 Dr. David J Harnick D.d.s.,m.s.d. Clinic/Center 8631 Golf Course Rd Nw Ste F, Albuquerque, NM 87114-6347 2010-08-19
1932332285 Stephen A. Wagner Dds,pc Clinic/Center 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 2009-09-02
1447427513 Uptown Park Dental Practice, LLC Clinic/Center 2100 Louisiana Blvd Ne, Suite 104, Albuquerque, NM 87110-5419 2008-05-08
1013193622 Comfort Dental of Coronado Clinic/Center 5820 Menaul Blvd. Ne, Albuquerque, NM 87110-3238 2008-01-14
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Competitor

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City ALBUQUERQUE
Zip Code 87110

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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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