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DR. JEREMY R DOCKSTADER D.M.D.
NPI 1174772016
Dentist in Albuquerque, NM

Active since September 16, 2008
4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110(505) 232-2273 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremy R Dockstader D.m.d. NPPES

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

DR. JEREMY R DOCKSTADER D.M.D. (NPI 1174772016) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (DD3444) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1174772016
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEREMY R DOCKSTADERCredential: D.M.D.
Location Address4701 LOMAS BLVD NEAlbuquerque, NM 87110-6233
Mailing Address4701 Lomas BlvdAlbuquerque, NM 87110 · (505) 232-2273
Phone(505) 232-2273
Sole ProprietorYes
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1174772016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD3444
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7106444-9922 (UT)
4701 LOMAS BLVD NE, Albuquerque, NM 87110
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Other Identifiers 1

Medicaid273267056NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

SOUTHWEST DENTAL SERVICES LLC
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
DENTAL PARTNERS OF LOMAS
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
DENTAL PARTNERS OF LOMAS
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
DR. BRUCE TERRY THARP DMD
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
DR. JOSEPH EDWARD PITLUCK III DDS
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
DR. HUAN YANG DDS
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
YOANN POLITO DDS
Dentist (General Practice)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 232-2273
WRN, P.C.
Clinic/Center (Dental)
4701 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 433-5204

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 Jeremy Dockstader's NPI number?

The NPI number for Jeremy Dockstader is 1174772016. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Jeremy Dockstader located?

Jeremy Dockstader practices at 4701 Lomas Blvd NE, Albuquerque, NM 87110. The listed phone number is (505) 232-2273.

What is Jeremy Dockstader's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jeremy Dockstader accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Jeremy Dockstader 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 Jeremy Dockstader was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.