| Southwest Oral & Maxillofacial Surgery | |
|
5900 Cubero Dr Ne Ste A Albuquerque NM 87109-3879 | |
| (505) 797-3530 | |
| (505) 797-2155 |
| Full Name | Southwest Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5900 Cubero Dr Ne Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jerry L Jones (OWNER) |
| Authorized Official Contact | 5057973530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Oral & Maxillofacial Surgery 5900 Cubero Dr Ne Ste A Albuquerque NM 87109-3879 Ph: (505) 797-3530 | Southwest Oral & Maxillofacial Surgery 5900 Cubero Dr Ne Ste A Albuquerque NM 87109-3879 Ph: (505) 797-3530 |
| NPI Number | 1457527368 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457527368 | NPI | - | NPPES |
| E1446 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DD1094 (New Mexico) | Primary |
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