institution
Great White Dentistry
General Practice Dentistry in Albuquerque, New Mexico
NPI 1639663792

Great White Dentistry is a General Practice Dentistry based in Albuquerque, NM and is specialized in General Practice. Great White Dentistry practices in Albuquerque, NM. The NPI Number for Great White Dentistry is 1639663792 and holds a License No. DD4733 (New Mexico).

The current practice location address for Great White Dentistry is 5555 Montgomery Blvd Ne Ste 17, Albuquerque, NM and can be reached out via phone at 505-881-0422.

Location: 5555 Montgomery Blvd Ne Ste 17, Albuquerque, NM, 87109-1445
institution
Provider Profile Details
NPI Number
1639663792
Provider Name
Great White Dentistry
Credential
Provider Entity Type
Organization
Address
5555 Montgomery Blvd Ne Ste 17, Albuquerque, NM, 87109-1445
Phone Number
505-881-0422
Fax Number
Provider Enumeration Date
06/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48108588 05 NM
institution
Provider Business Practice Location Address Details
Address
5555 Montgomery Blvd Ne Ste 17
City
State
Zip
87109-1445
Phone Number
505-881-0422
Fax Number
person
Provider Business Mailing Address Details
Address
5555 Montgomery Blvd Ne Ste 17
City
State
Zip
87109-1445
Phone Number
505-881-0422
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DD4733 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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