Oral And Maxillofacial Surgery Associate Of New Mexico, P.A.
LBN: Oral And Maxillofacial Surgery Associate Of New Mexico, P.A.
Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. is an health care organization with primary practice located at 6800 Montgomery Blvd Ne Suite A, Albuquerque NM 87109-1405. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. can be contacted via phone (505) 881-1130, or through Mitchell, John C via phone (505) 881-1130.
Contact Information
Primary practice address
6800 Montgomery Blvd Ne Suite A
Albuquerque NM 87109-1405
Phone: (505) 881-1130
Fax:
Website:
Authorized official contact:
Name: Mitchell, John C Doctor of Dental Surgery (DDS)
Phone: (505) 881-1130
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 02-256180-00-3 | New Mexico |
Profile Details
| NPI number | 1689876963 |
|---|---|
| LBN Legal business name | Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. |
| DBA Doing business as | |
| Authorized official | Mitchell, John C Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Jul 8th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689876963 | NPPES |
| New Mexico | MEDICAID | 89797 |
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