UNIVERSITY OF NEW MEXICO DENTAL SERVICES (NPI# 1841484763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841484763 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NEW MEXICO DENTAL SERVICES |
| Practice Address |
1801 Camino De Salud Ne Suite 1200 Albuquerque NM 87102-0001 |
| Practice Telephone | 5059257797 |
| Practice Fax Number | 5059257800 |
| Mailing Telephone | 5059257797 |
| Mailing Fax Number | 5059257800 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-05-08 |
| Authorized Official Name | GARY CUTTRELL (CHIEF ASSISTANT PROFESSOR) |
| Authorized Official Telephone | 5059257797 |
| Authorized Official Credential | D.D.S., J.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD2136 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 28601831 | 05 |
| Street Address |
1801 CAMINO DE SALUD NE SUITE 1200 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447898 | Marc Bernard Appelbaum | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2005-06-21 |
| 1184016933 | Puja Bhakta | Student in an Organized Health Care Education/Training Program | 1801 Camino De Salud Ne, Suite #1200, Albuquerque, NM 87102-4516 | 2015-03-02 |
| 1477973295 | Mathew Randle Dennison | Student in an Organized Health Care Education/Training Program | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2014-04-19 |
| 1801163233 | Trang T Lucero | Dental Hygienist | 1801 Camino De Salud Ne, Albuquerque, NM 87102 | 2011-11-30 |
| 1770879694 | Unm Medical Group Inc | Clinic/Center | 1801 Camino De Salud Ne, Suite 1100, Albuquerque, NM 87102-4516 | 2011-06-20 |
| 1720318439 | Jason Flores | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2009-12-31 |
| 1740419100 | Melissa Ivers | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102 | 2009-07-07 |
| 1710069877 | George Yarbrough | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2006-10-19 |
| 1346222668 | Peter Marshall Jensen | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2005-11-14 |
| 1760471379 | Charles Tatlock | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2005-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on UNIVERSITY OF NEW MEXICO DENTAL SERVICES.
| 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.