Advanced Endodontics

LBN: Advanced Endodontics
Advanced Endodontics is an health care organization with primary practice located at 7520 Montgomery Blvd E1, Albuquerque NM 87109. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Advanced Endodontics can be contacted via phone (505) 797-1212, or through Goodis, Charles James via phone (505) 797-1212.

Contact Information

Primary practice address
7520 Montgomery Blvd E1 Albuquerque NM 87109
Phone: (505) 797-1212
Fax: (505) 823-1831
Website:
Map and Directions
Authorized official contact:
Name: Goodis, Charles James Doctor of Dental Surgery (DDS)
Phone: (505) 797-1212

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DD1868 New Mexico
Dental Providers / Endodontics 1223E0200X DD1759 New Mexico

Profile Details

NPI number 1063493427
LBN Legal business name Advanced Endodontics
DBA Doing business as
Authorized official Goodis, Charles James Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063493427 NPPES
New Mexico MEDICAID 004283

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