Shirlena T Waters, | |
South Valley Dental, 2001 Centro Familiar Sw, Albuquerque, NM 87105 | |
(505) 873-7400 | |
Not Available |
Full Name | Shirlena T Waters |
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Gender | Female |
Speciality | Dentist |
Location | South Valley Dental, 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 |
---|---|---|---|
1548587991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DD3426 (New Mexico) | Primary |
Entity Name | First Choice Community Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
Mailing Address | Practice Location Address |
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Shirlena T Waters, Po Box 25445, Albuquerque, NM 87125-0445 Ph: (505) 767-1111 | Shirlena T Waters, South Valley Dental, 2001 Centro Familiar Sw, Albuquerque, NM 87105 Ph: (505) 873-7400 |
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 |