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JUAN TABO DENTISTRY LLC
NPI 1477197804
Dentist - General Practice in Albuquerque, NM

Active since October 29, 2019
1924 JUAN TABO BLVD NE STE C, ALBUQUERQUE, NM 87112(505) 293-3451 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Tabo Dentistry Llc NPPES

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

JUAN TABO DENTISTRY LLC (NPI 1477197804), doing business as Delicate Dentistry, is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since October 2019. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477197804
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJUAN TABO DENTISTRY LLC
Location Address1924 JUAN TABO BLVD NE STE CAlbuquerque, NM 87112-3358
Mailing Address1924 Juan Tabo Blvd Ne Ste CAlbuquerque, NM 87112-3358 · (505) 293-3451
Phone(505) 293-3451
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateOctober 29, 2019
✔ NPI 1477197804 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.
1924 JUAN TABO BLVD NE STE C, Albuquerque, NM 87112
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Other Names 1

Doing Business AsDelicate Dentistry

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

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 Juan Tabo Dentistry LLC's NPI number?

The NPI number for Juan Tabo Dentistry LLC is 1477197804. It was assigned to this organization in the NPPES registry on October 29, 2019. The provider is doing business as Delicate Dentistry.

Where is Juan Tabo Dentistry LLC located?

Juan Tabo Dentistry LLC is located at 1924 Juan Tabo Blvd NE Ste C, Albuquerque, NM 87112. The listed phone number is (505) 293-3451.

What is Juan Tabo 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 Juan Tabo Dentistry LLC was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.