Albuquerque West Smiles Youth Dentistry, Pc

LBN: Albuquerque West Smiles Youth Dentistry, Pc
Albuquerque West Smiles Youth Dentistry, Pc is an health care organization with primary practice located at 111 Coors Blvd Nw E-6, Albuquerque NM 87121-2006. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Albuquerque West Smiles Youth Dentistry, Pc can be contacted via phone (505) 352-3808, or through Freeman, Kim via phone (505) 377-9911.

Contact Information

Primary practice address
111 Coors Blvd Nw E-6 Albuquerque NM 87121-2006
Phone: (505) 352-3808
Fax: (505) 352-3811
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 1730137217
LBN Legal business name Albuquerque West Smiles Youth Dentistry, Pc
DBA Doing business as
Authorized official Freeman, Kim
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 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 1730137217 NPPES
New Mexico MEDICAID 77532

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