WESTSIDE ORAL SURGERY, PC; NPI #1013169614

Contact Information

WESTSIDE ORAL SURGERY, PC

1628 ALAMEDA BLVD NW
ALBUQUERQUE, NM 87114-8807

Phone: 505-899-6979
Fax: 505-899-6980
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for WESTSIDE ORAL SURGERY, PC

NPI Number 1013169614

LBN Legal business name WESTSIDE ORAL SURGERY, PC

Authorized official CHRISTOPHER LARMOUR - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/15/2008

Last updated 10/15/2008 - About 18 years ago

Identifiers

License #

DD2870

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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