BOSQUE SMILES DENTISTRY, LLC
NPI 1013550094
Dentist - General Practice in Albuquerque, NM

Active since October 23, 2019
5600 COORS BLVD NW STE G4, ALBUQUERQUE, NM 87120(505) 431-9740 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bosque Smiles Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOSQUE SMILES DENTISTRY, LLC (NPI 1013550094) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since October 2019. The organization lists Jae Yang, Owner, as its authorized official.

NPPES Registry Identity

NPI1013550094
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOSQUE SMILES DENTISTRY, LLC
Location Address5600 COORS BLVD NW STE G4Albuquerque, NM 87120-1877
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8500
Organization SubpartNo
Authorized OfficialJae YangOwner · (714) 845-8500
Enumeration DateOctober 23, 2019
NPI 1013550094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5600 COORS BLVD NW STE G4, Albuquerque, NM 87120

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5600 COORS BLVD NW STE G4
ALBUQUERQUE, NM 87120
Dentist (Dental Public Health)
5600 COORS BLVD NW STE G4
ALBUQUERQUE, NM 87120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bosque Smiles Dentistry, LLC's NPI number?

The NPI number for Bosque Smiles Dentistry, LLC is 1013550094. It was assigned to this organization in the NPPES registry on October 23, 2019.

Where is Bosque Smiles Dentistry, LLC located?

Bosque Smiles Dentistry, LLC is located at 5600 Coors Blvd NW Ste G4, Albuquerque, NM 87120. The listed phone number is (505) 431-9740.

What is Bosque Smiles Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Bosque Smiles Dentistry, LLC accept?

Health plans from UnitedHealthcare list Bosque Smiles Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bosque Smiles Dentistry, LLC was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.