SUNRIDGE DENTAL CARE, P.C.
NPI 1376844811
Dentist - General Practice in Albuquerque, NM

Active since November 16, 2010
6400 CENTRAL AVE SW, ALBUQUERQUE, NM 87105(505) 836-0322 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About SUNRIDGE DENTAL CARE, P.C.

This page provides the complete NPI Profile along with additional information for Sunridge Dental Care, P.c., a provider established in Albuquerque, New Mexico operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1376844811 assigned on November 2010. The practitioner's primary taxonomy code is 1223G0001X with license number DD3069 (NM). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Peter Roukema D.m.d. (President)

NPI
1376844811 Verify this NPI
Provider Name
SUNRIDGE DENTAL CARE, P.C.
Entity Type
Organization
Location Address
6400 CENTRAL AVE SW ALBUQUERQUE, NM 87105
Location Phone
(505) 836-0322
Mailing Address
6400 CENTRAL AVE SW ALBUQUERQUE, NM 87105
Mailing Phone
(505) 836-0322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2010
Last Update Date
11-16-2010
Code Navigator

A dentist like Sunridge Dental Care, P.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DD3069
License State
NM
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PETER ROUKEMA D.M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(505) 836-0322

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
6400 CENTRAL AVE SW
ALBUQUERQUE, NM 87105
Dentist (General Practice)
6400 CENTRAL AVE SW
ALBUQUERQUE, NM 87105
Dentist (General Practice)
6400 CENTRAL AVE SW
ALBUQUERQUE, NM 87105
Dentist (General Practice)
6400 CENTRAL AVE SW
ALBUQUERQUE, NM 87105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376844811, enumerated as an "organization" on November 16, 2010.

The provider is located at 6400 CENTRAL AVE SW ALBUQUERQUE, NM 87105 and the phone number is (505) 836-0322.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.