Affholter, Lee Paige
Affholter, Lee Paige is an individual health care provider with primary practice located at 1217 1St St Nw , Albuquerque NM 87102-1529. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Affholter, Lee Paige can be contacted via phone (505) 766-5197.Contact Information
Primary practice address
1217 1St St Nw
Albuquerque NM 87102-1529
Phone: (505) 766-5197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD5177 | New Mexico |
Profile Details
| NPI number | 1336793892 |
|---|---|
| LBN Legal business name | Affholter, Lee Paige |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2019 |
| Last updated | Mar 18th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336793892 | NPPES |
| New Mexico | MEDICAID | 94879567 |
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