DENTAMAX DENTAL SERVICES LLC


Address: 4421 Irving Blvd Nw, Suite B, Albuquerque, NM 87114-5919
Phone: 5058216910

DENTAMAX DENTAL SERVICES LLC (NPI# 1356722078) 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) 1356722078
Entity Type Organization
Organization Name DENTAMAX DENTAL SERVICES LLC
Other Organization Name RIVERPOINT FAMILY, COSMETIC, & IMPLANT DENTISTRY
Practice Address 4421 Irving Blvd Nw
Suite B
Albuquerque
NM 87114-5919
Practice Telephone 5058216910
Mailing Telephone 5058216910
Mailing Fax Number 5057925771
Enumeration Date 2015-06-18
Last Update Date 2015-06-18
Authorized Official Name DR. BOYD EMMITT NEWSOME (CEO/OWNER)
Authorized Official Telephone 4802508597
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DD4283 NM Dental Providers

Other Provider/Organization Names

Other Name Type Code
Riverpoint Family, Cosmetic, & Implant Dentistry Doing Business As Name - Organization

Office Location

Street Address 4421 IRVING BLVD NW
SUITE B
City ALBUQUERQUE
State NM
Zip Code 87114-5919

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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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841803830 Tri Dental, LLC Dentist 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 2020-08-28
1609485077 Joseph Potter Dentist 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 2020-07-30
1861024861 Brian K Dennis Dds PC Dentist 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 2020-02-07
1134769235 Abq Dentists PC Dentist 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 2020-01-07
1477197804 Juan Tabo Dentistry LLC Dentist 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 2019-10-29
1013550094 Bosque Smiles Dentistry, LLC Dentist 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 2019-10-23
1134686298 Brandon James Clayton Dentist 2003 Southern Blvd Se # 133-134, Albuquerque, NM 87124-3751 2019-02-25
1881158822 Advantage Dental Care Dentist 9212 Montgomery Blvd Ne, Albuquerque, NM 87111-2408 2019-01-23
1124599253 Kirtland Family Dentistry LLC Dentist 8521 Central Ave Ne Ste 101, Albuquerque, NM 87108-2501 2018-12-16
1962998443 Salia Khayoumi Dentist 333 San Mateo Blvd Se, Albuquerque, NM 87108-2919 2018-07-08
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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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