1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Dentist
  6. NPI Profile

ALBUQUERQUE EAST SMILES YOUTH DENTISTRY, PC
NPI 1144279381
Dentist - General Practice in Albuquerque, NM

Active since May 07, 2006
201 SAN PEDRO DR SE, SUITE B-2, ALBUQUERQUE, NM 87108(505) 232-5437(505) 254-7649 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Albuquerque East Smiles Youth Dentistry, Pc NPPES

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

ALBUQUERQUE EAST SMILES YOUTH DENTISTRY, PC (NPI 1144279381) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since May 2006. The organization lists Kim Freeman, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1144279381
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALBUQUERQUE EAST SMILES YOUTH DENTISTRY, PC
Location Address201 SAN PEDRO DR SE, SUITE B-2Albuquerque, NM 87108-3009
Mailing Address201 San Pedro Dr Se Ste B2Albuquerque, NM 87108-3009 · (505) 232-5437 · Fax (505) 254-7649
Phone(505) 232-5437
Fax(505) 254-7649
Organization SubpartNo
Authorized OfficialKim FreemanRegional Manager · (505) 377-9911
Enumeration DateMay 7, 2006
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1144279381 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.
201 SAN PEDRO DR SE, Albuquerque, NM 87108
Open in Google Maps ↗

Other Identifiers 1

Medicaid93175027NM

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

ROBERT J JAMSKY
Dentist (General Practice)
201 SAN PEDRO DR SE, SUITE B-2
ALBUQUERQUE, NM 87108
Bernalillo County (505) 232-5437
MATTHEW R. BISHOP DDS
Dentist (General Practice)
201 SAN PEDRO DR SE, SUITE B-2
ALBUQUERQUE, NM 87108
Bernalillo County (505) 232-5437
DR. LILY E. CHA DDS
Dentist (General Practice)
201 SAN PEDRO DR SE, SUITE B-2 (505) 232-5437
ALBUQUERQUE, NM 87108
Bernalillo County (505) 232-5437
CAREMART PHARMACY
Pharmacy
201 SAN PEDRO DR SE, SUITE C
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-2411
UT THI LE DOCTORATE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
201 SAN PEDRO DR SE, SUITE C
ALBUQUERQUE, NM 87108
Bernalillo County (505) 268-2411

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 Albuquerque East Smiles Youth Dentistry, PC's NPI number?

The NPI number for Albuquerque East Smiles Youth Dentistry, PC is 1144279381. It was assigned to this organization in the NPPES registry on May 7, 2006.

Where is Albuquerque East Smiles Youth Dentistry, PC located?

Albuquerque East Smiles Youth Dentistry, PC is located at 201 San Pedro Dr SE Suite B-2, Albuquerque, NM 87108. The listed phone number is (505) 232-5437.

What is Albuquerque East Smiles Youth Dentistry, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Albuquerque East Smiles Youth Dentistry, PC was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.