ADVANCED ENDODONTICS
NPI 1063493427
Dentist - Endodontics in Albuquerque, NM

Active since November 10, 2005
7520 MONTGOMERY BLVD, E1, ALBUQUERQUE, NM 87109(505) 797-1212(505) 823-1831 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Endodontics NPPES

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

ADVANCED ENDODONTICS (NPI 1063493427) is a healthcare organization registered as an endodontics in Albuquerque, New Mexico and active in the NPI registry since November 2005. The organization lists Charles James Goodis, Owner, as its authorized official.

NPPES Registry Identity

NPI1063493427
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameADVANCED ENDODONTICS
Location Address7520 MONTGOMERY BLVD, E1Albuquerque, NM 87109
Mailing Address7520 Montgomery Blvd, E1Albuquerque, NM 87109 · (505) 797-1212 · Fax (505) 823-1831
Fax(505) 823-1831
Organization SubpartNo
Authorized OfficialCharles James GoodisOwner · (505) 797-1212
Enumeration DateNovember 10, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1063493427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses Licensed in NM · DD1868 Licensed in NM · DD1759
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
7520 MONTGOMERY BLVD, Albuquerque, NM 87109

Other Identifiers 1

Medicaid004283NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Advanced Endodontics's NPI number?

The NPI number for Advanced Endodontics is 1063493427. It was assigned to this organization in the NPPES registry on November 10, 2005.

Where is Advanced Endodontics located?

Advanced Endodontics is located at 7520 Montgomery Blvd E1, Albuquerque, NM 87109. The listed phone number is (505) 797-1212.

What is Advanced Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Advanced Endodontics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.