BRUCE BRONDON SHAHEEN (NPI# 1851686430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851686430 |
| Entity Type | Individual |
| Full Name | BRUCE BRONDON SHAHEEN |
| Credential | DDS |
| Practice Address |
#3 Cr 6523 Sundance Dental Care of Kirtland Kirtland NM 87417 |
| Practice Telephone | 5055986800 |
| Practice Fax Number | 5055986830 |
| Mailing Telephone | 5055986800 |
| Mailing Fax Number | 5055986830 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD 3503 | NM | Dental Providers |
| Street Address |
#3 CR 6523 SUNDANCE DENTAL CARE OF KIRTLAND |
| City | KIRTLAND |
| State | NM |
| Zip Code | 87417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710215439 | Summit Family Dental of Kirtland, LLC | Dentist | #3 Cr 6523, Kirtland, NM 87417 | 2009-11-19 |
| 1871973693 | Chris John Giblette | Dentist | #3 Cr 6523, Kirtland, NM 87417 | 2015-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619598265 | Kaitlynn C Medley | Behavior Technician | 115 Road 6480, Kirtland, NM 87417 | 2020-05-05 |
| 1093334930 | Hattie Marie Davis | Behavior Technician | 506 Road 6100, Kirtland, NM 87417-9316 | 2020-04-10 |
| 1841763398 | Melissa Christianson | Registered Nurse | 550 Road 6100, Kirtland, NM 87417-9317 | 2019-01-08 |
| 1245602127 | Jessica Dalton | Registered Nurse | 538 County Road 6100, Kirtland, NM 87417-9317 | 2015-10-30 |
| 1609102227 | Jessica L Spinner | Social Worker | 550 County Road 6100, Kirtland, NM 87417-9317 | 2009-11-02 |
| 1801856448 | Erica R Freeman | Physical Therapist | 583 County Road 6100, Kirtland, NM 87417-9318 | 2006-03-27 |
| 1598131195 | Tara Hannah | Physical Therapy Assistant | 68 Road 6118, Kirtland, NM 87417-9319 | 2015-08-18 |
| 1164850285 | Maria Gonzales | Speech-Language Pathologist | 31 Road 6195, Kirtland, NM 87417-9332 | 2013-10-29 |
| 1215579156 | Stephanie Lee Crawford | Registered Nurse | 538 County Road 6100, Kirtland, NM 87417-9337 | 2019-10-11 |
| 1902230402 | Jeffrey D. Cooper | Audiologist-Hearing Aid Fitter | 76c County Road 6500, Kirtland, NM 87417-9402 | 2013-09-03 |
| Find all providers in zip 87417 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477843787 | Joseph Koehler | Dentist | 10523 Chillicothe Rd, Kirtland, OH 44094-9563 | 2011-04-08 |
| 1316070303 | Cody Burnell Coleman | Dentist | 3 County Road 6523, Kirtland, NM 87417-9452 | 2007-03-13 |
| 1336155571 | Taylor Clark | Dentist | 3 Road 6523, Kirtland, NM 87417-9452 | 2006-07-31 |
| 1982133849 | Shaun Henderson | Dentist | 3 Road 6523, Kirtland, NM 87417-9452 | 2017-06-05 |
| 1871973693 | Chris John Giblette | Dentist | #3 Cr 6523, Kirtland, NM 87417 | 2015-06-06 |
| 1730596024 | Michael Darais | Dentist | 3 County Road 6523, Kirtland, NM 87417-9452 | 2014-07-17 |
| 1689950503 | Jared Michael Southwell | Dentist | 3 Road 6523, Kirtland, NM 87417-9452 | 2011-10-24 |
| 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 |
| 1295347326 | Sandya Vanathi Athigaman | Dentist | 612 N Canyon St, Carlsbad, NM 88220-5842 | 2020-08-19 |
| 1932729506 | Brenda Concepcion Acosta | Dentist | Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-23 |
| 1730712357 | Dental Technology Trainers LLC | Dentist | 3 Calle Del Arroyo, Placitas, NM 87043-9407 | 2020-02-21 |
| 1942833199 | Salud Dental Group Albuquerque | Dentist | 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 | 2020-02-17 |
| 1669012241 | Lc Sleep Solutions LLC | Dentist | 2001 E Lohman Ave Ste 122, Las Cruces, NM 88001-3195 | 2020-01-10 |
| 1255987616 | Katelyn Noelle Bobbitt | Dentist | 950 Unser Blvd Se Ste 100, Rio Rancho, NM 87124-6376 | 2019-08-12 |
| 1336793892 | Lee Paige Affholter | Dentist | 6349 Us 550, Cuba, NM 87013 | 2019-08-01 |
| 1073167789 | Kathryn Susanne Wynne | Dentist | 5131 Main St Ste 101, Santa Fe, NM 87507-2682 | 2019-07-31 |
| 1033770953 | Chad Joseph Davis | Dentist | 3811 Cerrillos Rd Ste 104, Santa Fe, NM 87507-4149 | 2019-06-21 |
| Find all providers with the same taxonomy | ||||
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| 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.