ALEGRE DENTAL @ PETROGLYPHS
NPI 1366837643
Dentist - General Practice in Albuquerque, NM

Active since April 02, 2015
2116 VISTA OESTE NW STE 202, ALBUQUERQUE, NM 87120(505) 836-1076(505) 836-9809 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alegre Dental @ Petroglyphs NPPES

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

ALEGRE DENTAL @ PETROGLYPHS (NPI 1366837643) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since April 2015. The organization lists Kim Wilson, Cred Supervisor, as its authorized official.

NPPES Registry Identity

NPI1366837643
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
Location Address2116 VISTA OESTE NW STE 202Albuquerque, NM 87120-4341
Mailing Address2116 Vista Oeste Nw Ste 202Albuquerque, NM 87120-4341 · (505) 836-1076 · Fax (505) 836-9809
Fax(505) 836-9809
Organization SubpartYes
Authorized OfficialKim WilsonCred Supervisor · (217) 540-5170
Enumeration DateApril 2, 2015
NPI 1366837643 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.
2116 VISTA OESTE NW STE 202, Albuquerque, NM 87120

Other Names 1

Doing Business AsAlegre Dental @ Petroglyphs

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

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

Dentist (General Practice)
2116 VISTA OESTE NW STE 202
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 New Mexico Professional Dental Associates, Inc's NPI number?

The NPI number for New Mexico Professional Dental Associates, Inc is 1366837643. It was assigned to this organization in the NPPES registry on April 2, 2015. The provider is doing business as Alegre Dental @ Petroglyphs.

Where is New Mexico Professional Dental Associates, Inc located?

New Mexico Professional Dental Associates, Inc is located at 2116 Vista Oeste NW Ste 202, Albuquerque, NM 87120. The listed phone number is (505) 836-1076.

What is New Mexico Professional Dental Associates, Inc'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 New Mexico Professional Dental Associates, Inc was last updated on April 2, 2015. 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.