Abq Pediatric Dentistry

LBN: Sjt Pediatric Dentistry Llc
Abq Pediatric Dentistry is an health care organization with primary practice located at 4620 Jefferson Ln Ne Ste C , Albuquerque NM 87109-2149. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Sjt Pediatric Dentistry Llc can be contacted via phone (505) 888-3520, or through Gonzales, Ebonie via phone (505) 850-3769.

Contact Information

Primary practice address
4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149
Phone: (505) 888-3520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Ebonie
Phone: (505) 850-3769

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1154804755
LBN Legal business name Sjt Pediatric Dentistry Llc
DBA Doing business as Abq Pediatric Dentistry
Authorized official Gonzales, Ebonie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2018
Last updated Mar 25th, 2024 - about 9 months 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.

Request for update

Popular Providers