Open Wide Dentistry Llc - Dental Clinic in Albuquerque, NM

Open Wide Dentistry Llc is a dental clinic (Clinic/center - Dental) in Albuquerque, New Mexico. The current practice location for Open Wide Dentistry Llc is 1100 Lead Ave Se, Albuquerque, New Mexico. For appointments, you can reach them via phone at (505) 292-8533. The mailing address for Open Wide Dentistry Llc is 1100 Lead Ave Se, Albuquerque, New Mexico and phone number is (505) 292-8533.

Open Wide Dentistry Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1255581393. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (505) 292-8533.

Contact Information

Open Wide Dentistry Llc
1100 Lead Ave Se
Albuquerque
NM 87106
(505) 292-8533
(505) 292-2712

Dental Care Clinic Profile

Full NameOpen Wide Dentistry Llc
SpecialityClinic/center - Dental
Location1100 Lead Ave Se, Albuquerque, New Mexico
Authorized Official Name and PositionSandra Lee Keanna (OWNER)
Authorized Official Contact5052928533
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Open Wide Dentistry Llc
1100 Lead Ave Se
Albuquerque
NM 87106-5215

Ph: (505) 292-8533
Open Wide Dentistry Llc
1100 Lead Ave Se
Albuquerque
NM 87106

Ph: (505) 292-8533

NPI Details:

NPI Number1255581393
Provider Enumeration Date09/25/2008
Last Update Date09/25/2008

Medical Identifiers

Medical identifiers for Open Wide Dentistry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255581393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Primary

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