Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. in Albuquerque - Oral And Maxillofacial Surgery
Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. - NPI 1689876963
Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. is a Oral And Maxillofacial Surgery in Albuquerque, New Mexico. Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. is 1689876963. The last update date is 2009-07-08.
Oral And Maxillofacial Surgery Associate Of New Mexico, P.A.'s current location address is 6800 Montgomery Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058811130. The mailing address for Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. is 6800 Montgomery Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. |
|---|---|
| Address | 6800 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Phone Number | 5058811130 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Mitchell C John |
| Credentials | D.D.S. |
| Telephone Number | 5058811130 |
NPI Number Detail
| NPI Number | 1689876963 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2009-07-08 |
Provider Mailing Address Detail
| Address | 6800 Montgomery Blvd Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871091405 |
| Phone Number | 5058811130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 02-256180-00 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89797 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. by the Centers for Medicare & Medicaid Services?
The Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. has been issued the NPI (National Provider Identifier) 1689876963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. is physically located?
The Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. is physically situated at the following address: 6800 Montgomery Blvd Ne, Albuquerque, NM, 871091405.
What is Oral And Maxillofacial Surgery Associate Of New Mexico, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Oral And Maxillofacial Surgery Associate Of New Mexico, P.A.'s specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689876963 to Oral And Maxillofacial Surgery Associate Of New Mexico, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1689876963 to Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. on 2007-05-31.
As of what date were the details pertaining to Oral And Maxillofacial Surgery Associate Of New Mexico, P.A. last refreshed?
The information related to the Oral And Maxillofacial Surgery Associate Of New Mexico, P.A., including its address, specialty, and other relevant details, was last updated on 2009-07-08.