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OPEN WIDE DENTISTRY LLC
NPI 1255581393
Clinic/Center - Dental in Albuquerque, NM

Active since September 25, 2008
1100 LEAD AVE SE, ALBUQUERQUE, NM 87106(505) 292-8533(505) 292-2712 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Open Wide Dentistry Llc NPPES

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

OPEN WIDE DENTISTRY LLC (NPI 1255581393) is a healthcare organization registered as a dental in Albuquerque, New Mexico and active in the NPI registry since September 2008. The organization lists Sandra Lee Keanna, Owner, as its authorized official.

NPPES Registry Identity

NPI1255581393
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameOPEN WIDE DENTISTRY LLC
Location Address1100 LEAD AVE SEAlbuquerque, NM 87106
Mailing Address1100 Lead Ave SeAlbuquerque, NM 87106-5215 · (505) 292-8533 · Fax (505) 292-2712
Phone(505) 292-8533
Fax(505) 292-2712
Organization SubpartNo
Authorized OfficialSandra Lee KeannaOwner · (505) 292-8533
Enumeration DateSeptember 25, 2008
✔ NPI 1255581393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1100 LEAD AVE SE, Albuquerque, NM 87106
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Other Providers at the Same Location NPPES 17

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

SUSAN E KINNEAR CNP
Nurse Practitioner
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000
DR. GEORGE ALBERT KEANNA DDS
Dentist
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 292-8533
MRS. WHITNEY EMERSON STEINMETZ CNP
Nurse Practitioner
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000
PAULA A CORDOVA CNP
Nurse Practitioner (Family)
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000
JANINE MANCUSI CNP
Nurse Practitioner (Family)
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000
DR. DEEPSHIKHA NAG CHOWDHURY M.D
Internal Medicine (Gastroenterology)
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000
CHRISTOPHER RAYMOND FREDERICKS
Internal Medicine (Gastroenterology)
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000
NATHALY CORTEZ BAZAN MD
Internal Medicine (Gastroenterology)
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 224-7000

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 Open Wide Dentistry LLC's NPI number?

The NPI number for Open Wide Dentistry LLC is 1255581393. It was assigned to this organization in the NPPES registry on September 25, 2008.

Where is Open Wide Dentistry LLC located?

Open Wide Dentistry LLC is located at 1100 Lead Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 292-8533.

What is Open Wide Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Open Wide Dentistry LLC was last updated on September 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.