Dr Lionel Michael Candelaria, DDS | |
7308 Wadi Musa Dr Ne, Albuquerque, NM 87122-3346 | |
(505) 321-8291 | |
Not Available |
Full Name | Dr Lionel Michael Candelaria |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 7308 Wadi Musa Dr Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750359618 | NPI | - | NPPES |
NM100139 | Other | NM | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DD1894 (New Mexico) | Primary |
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
Dr Lionel Michael Candelaria, DDS 6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405 Ph: (505) 881-1130 | Dr Lionel Michael Candelaria, DDS 7308 Wadi Musa Dr Ne, Albuquerque, NM 87122-3346 Ph: (505) 321-8291 |
Dr. Shane Thomas Clark, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2800 Coors Blvd Nw, Albuquerque, NM 87120 Phone: 505-352-1166 | |
Dan Lafferty Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 Eubank Blvd Ne Ste 101, Albuquerque, NM 87111 Phone: 505-292-8588 Fax: 505-292-3100 | |
Dr. Stephanie Ashley Padilla, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3809 Eubank Blvd Ne, Albuquerque, NM 87111 Phone: 505-292-2323 Fax: 855-287-5765 | |
Erin O'neal, Dentist Medicare: Medicare Enrolled Practice Location: 2001 Centro Familiar Blvd Sw, Albuquerque, NM 87105 Phone: 505-873-7400 | |
Dr. William C Gardner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8200 Carmel Ave Ne Ste 101, Albuquerque, NM 87122 Phone: 505-828-2669 Fax: 505-828-2716 | |
Dr. Hunter Lee Mortley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7510 Montgomery Blvd Ne, #206, Albuquerque, NM 87109 Phone: 505-881-1998 | |
Shu-ching Catherine Chang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5721 Fourth Street Nw, Albuquerque, NM 87107 Phone: 505-345-0515 Fax: 505-345-2418 |