| |
10433 Lagrima De Oro Albuquerque NM 87111 | |
(505) 299-4458 | |
(505) 299-4450 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10433 Lagrima De Oro, Albuquerque, New Mexico |
Authorized Official Name and Position | Darren Michael Haltom (DOCTOR/OWNER) |
Authorized Official Contact | 5053317473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10433 Lagrima De Oro Rd Ne Albuquerque NM 87111-3727 Ph: (505) 299-4458 | 10433 Lagrima De Oro Albuquerque NM 87111 Ph: (505) 299-4458 |
NPI Number | 1831506831 |
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Provider Enumeration Date | 07/22/2014 |
Last Update Date | 10/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831506831 | NPI | - | NPPES |
1336138684 | Other | ENVOLVE BENEFIT OPTIONS | |
31672752 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DD2090 (New Mexico) | Primary |
James M. Slaman, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8010 Palomas Ave Ne, Suite B, Albuquerque, NM 87109 Phone: 505-881-7586 Fax: 505-880-1769 | |
Sunshine Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10411 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 Phone: 505-298-0456 Fax: 505-298-4467 | |
Nm Dental Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 Montgomery Blvd Ne Ste B, Albuquerque, NM 87107 Phone: 505-705-8808 Fax: 505-705-8905 | |
Timothy L Gutierrez Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 Phone: 505-881-7373 Fax: 505-881-5096 |