Cottonwood Mall Dental Practice, Llc in Albuquerque - Dental

Cottonwood Mall Dental Practice, Llc - NPI 1043487119

Cottonwood Mall Dental Practice, Llc is a Dental in Albuquerque, New Mexico. Cottonwood Mall Dental Practice, Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Cottonwood Mall Dental Practice, Llc is 1043487119. The last update date is 2019-04-30.

Cottonwood Mall Dental Practice, Llc's current location address is 10000 Coors Byp Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5052424867 and fax number 5058902883. The mailing address for Cottonwood Mall Dental Practice, Llc is 10000 Coors Byp Nw, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cottonwood Mall Dental Practice, Llc
Address 10000 Coors Byp Nw, Albuquerque, New Mexico
Phone Number 5052424867
Fax Number 5058902883
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sapp A. William
Credentials DDS
Telephone Number 5052424867

NPI Number Detail

NPI Number 1043487119
Provider Enumeration Date 2008-05-08
Last Updated Date 2019-04-30

Provider Mailing Address Detail

Address 10000 Coors Byp Nw
City Albuquerque
State New Mexico (NM)
Post Code 871144040
Phone Number 5052424867
Fax Number 5058902883

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1440525 NM UNITED CONCORDIA

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FAQs about Cottonwood Mall Dental Practice, Llc

What is the unique identification code assigned to Cottonwood Mall Dental Practice, Llc by the Centers for Medicare & Medicaid Services?

The Cottonwood Mall Dental Practice, Llc has been issued the NPI (National Provider Identifier) 1043487119. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Cottonwood Mall Dental Practice, Llc's facilities are geographically located?

The facilities of Cottonwood Mall Dental Practice, Llc are physically situated at the following location: 10000 Coors Byp Nw, Albuquerque, NM, 871144040.

What is Cottonwood Mall Dental Practice, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Cottonwood Mall Dental Practice, Llc is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.

When did Cottonwood Mall Dental Practice, Llc receive its 1043487119 assignment?

The Cottonwood Mall Dental Practice, Llc was assigned its 1043487119 on 2008-05-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Cottonwood Mall Dental Practice, Llc last refreshed?

The information related to the Cottonwood Mall Dental Practice, Llc, including its address, specialty, and other relevant details, was last updated on 2019-04-30.

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