National Provider Identifier Database

ORTHODONTIC SPECIALISTS OF ALBUQUERQUE SANTA FE
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ORTHODONTIC SPECIALISTS OF ALBUQUERQUE SANTA FE
8216 LOUISIANA BLVD NE
ALBUQUERQUE, NM87113-2105
Phone: 505-822-1234
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ORTHODONTIC SPECIALISTS OF ALBUQUERQUE SANTA FE

NPI Number 1639397854
Legal business name
LBN
ORTHODONTIC SPECIALISTS OF ALBUQUERQUE SANTA FE
Authorized official MITCHELL SILVERMAN - (ORTHODONTIST)
Entity Organization
Organization subpart No
Enumeration date 04/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: DD2277
  • NM Medicaid: 13602
  • NM Medicaid: 179859

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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