Albuquerque East Smiles Youth Dentistry, Pc

LBN: Albuquerque East Smiles Youth Dentistry, Pc
Albuquerque East Smiles Youth Dentistry, Pc is an health care organization with primary practice located at 201 San Pedro Dr Se Suite B-2, Albuquerque NM 87108-3009. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Albuquerque East Smiles Youth Dentistry, Pc can be contacted via phone (505) 232-5437, or through Freeman, Kim via phone (505) 377-9911.

Contact Information

Primary practice address
201 San Pedro Dr Se Suite B-2 Albuquerque NM 87108-3009
Phone: (505) 232-5437
Fax: (505) 254-7649
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Kim
Phone: (505) 377-9911

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1144279381
LBN Legal business name Albuquerque East Smiles Youth Dentistry, Pc
DBA Doing business as
Authorized official Freeman, Kim
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2006
Last updated Sep 30th, 2014 - about 11 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 1144279381 NPPES
New Mexico MEDICAID 93175027

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