UPTOWN PARK DENTAL PRACTICE, LLC (NPI# 1447427513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447427513 |
| Entity Type | Organization |
| Organization Name | UPTOWN PARK DENTAL PRACTICE, LLC |
| Practice Address |
2100 Louisiana Blvd Ne Suite 104 Albuquerque NM 87110-5419 |
| Practice Telephone | 5058834867 |
| Practice Fax Number | 5058834007 |
| Mailing Telephone | 5058834867 |
| Mailing Fax Number | 5058834007 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | MR. STEVEN MAXEY (BUSINESS MANAGER) |
| Authorized Official Telephone | 3037895224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | UNITED CONCORIDA | 0973127 | 01 |
| Street Address |
2100 LOUISIANA BLVD NE SUITE 104 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053795112 | Jordan Ghiassi | Dentist | 2100 Louisiana Blvd Ne, Suite 104, Albuquerque, NM 87110-5419 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124512488 | Stacey Montano Dds LLC | Clinic/Center | 3901 Georgia St Ne Ste G1, Albuquerque, NM 87110-1388 | 2018-06-20 |
| 1003300393 | Napa Dental Management, LLC | Clinic/Center | 10820 Comanche Rd Ne Ste D, Albuquerque, NM 87111-3983 | 2018-06-19 |
| 1871042457 | Dental House Trade Winds, LLC | Clinic/Center | 5400 Central Ave Se, Suite C-101, Albuquerque, NM 87108-1502 | 2016-09-24 |
| 1528437258 | Anywhere Dental Care | Clinic/Center | 28 Canada De Los Alamos Trl Se, Albuquerque, NM 87123-9504 | 2015-09-23 |
| 1871961045 | Gregory R Mcallister, Dds, LLC | Clinic/Center | 5910 Cubero Dr Ne Ste B, Albuquerque, NM 87109-3868 | 2015-09-04 |
| 1003299173 | Sunshine Dental, PC | Clinic/Center | 10411 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2015-07-07 |
| 1356690788 | Alegre Dental | Clinic/Center | 2116 Vista Oeste Nw #202, Albuquerque, NM 87120 | 2012-08-30 |
| 1215243985 | Dr. David J Harnick D.d.s.,m.s.d. | Clinic/Center | 8631 Golf Course Rd Nw Ste F, Albuquerque, NM 87114-6347 | 2010-08-19 |
| 1932332285 | Stephen A. Wagner Dds,pc | Clinic/Center | 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 | 2009-09-02 |
| 1013193622 | Comfort Dental of Coronado | Clinic/Center | 5820 Menaul Blvd. Ne, Albuquerque, NM 87110-3238 | 2008-01-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on UPTOWN PARK DENTAL PRACTICE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.