Advanced Endodontics

LBN: Clark Endodontics Llc
Advanced Endodontics is an health care organization with primary practice located at 7520 Montgomery Blvd Ne Bldg E1 , Albuquerque NM 87109. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Clark Endodontics Llc can be contacted via phone (505) 797-1212, or through Clark, Shane T via phone (505) 797-1212.

Contact Information

Primary practice address
7520 Montgomery Blvd Ne Bldg E1 Albuquerque NM 87109
Phone: (505) 797-1212
Fax: (505) 823-1831
Website:
Map and Directions
Authorized official contact:
Name: Clark, Shane T Doctor of Dental Medicine (DMD)
Phone: (505) 797-1212

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DD4100 New Mexico

Profile Details

NPI number 1922586262
LBN Legal business name Clark Endodontics Llc
DBA Doing business as Advanced Endodontics
Authorized official Clark, Shane T Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2018
Last updated Jul 30th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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