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5555 Montgomery Blvd Ne Ste 17 Albuquerque NM 87109-1445 | |
| (505) 881-0422 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5555 Montgomery Blvd Ne Ste 17, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michael Scott Isham (OWNER/DENTIST) |
| Authorized Official Contact | 5058810422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5555 Montgomery Blvd Ne Ste 17 Albuquerque NM 87109-1445 Ph: (505) 881-0422 | 5555 Montgomery Blvd Ne Ste 17 Albuquerque NM 87109-1445 Ph: (505) 881-0422 |
| NPI Number | 1639663792 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639663792 | NPI | - | NPPES |
| 48108588 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD4733 (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 |