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DESOTO DENTISTRY, LLC
NPI 1417828880
Dentist - General Practice in Albuquerque, NM

Active since September 17, 2025
5925 WYOMING BLVD NE STE A, ALBUQUERQUE, NM 87109(505) 269-1818 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desoto Dentistry, Llc NPPES

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

DESOTO DENTISTRY, LLC (NPI 1417828880) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since September 2025. The organization lists Brock James Desoto, Dentist, as its authorized official.

NPPES Registry Identity

NPI1417828880
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDESOTO DENTISTRY, LLC
Location Address5925 WYOMING BLVD NE STE AAlbuquerque, NM 87109-3841
Mailing Address5925 Wyoming Blvd Ne Ste AAlbuquerque, NM 87109-3841 · (505) 269-1818
Phone(505) 269-1818
Organization SubpartNo
Authorized OfficialBrock James DesotoDentist · (505) 269-1818
Enumeration DateSeptember 17, 2025
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1417828880 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.
5925 WYOMING BLVD NE STE A, Albuquerque, NM 87109
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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.

DR. BROCK J DESOTO DDS
Dentist (General Practice)
5925 WYOMING BLVD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 269-1818

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 Desoto Dentistry, LLC's NPI number?

The NPI number for Desoto Dentistry, LLC is 1417828880. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is Desoto Dentistry, LLC located?

Desoto Dentistry, LLC is located at 5925 Wyoming Blvd NE Ste A, Albuquerque, NM 87109. The listed phone number is (505) 269-1818.

What is Desoto Dentistry, LLC'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 Desoto Dentistry, LLC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.