1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Dentist
  6. NPI Profile

SANDIA PEDIATRIC DENTISTRY
NPI 1497008312
Dentist - Pediatric Dentistry in Albuquerque, NM

Active since October 16, 2012
7007 WYOMING BLVD NE STE C-2, ALBUQUERQUE, NM 87109(505) 200-3516 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandia Pediatric Dentistry NPPES

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

SANDIA PEDIATRIC DENTISTRY (NPI 1497008312) is a healthcare organization registered as a pediatric dentistry in Albuquerque, New Mexico and active in the NPI registry since October 2012. The organization lists Danen Scott Sjostrom, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1497008312
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSANDIA PEDIATRIC DENTISTRY
Location Address7007 WYOMING BLVD NE STE C-2Albuquerque, NM 87109-3987
Mailing Address7007 Wyoming Blvd Ne Ste C-2Albuquerque, NM 87109-3987 · (505) 200-3516
Phone(505) 200-3516
Organization SubpartNo
Authorized OfficialDanen Scott SjostromPediatric Dentist · (614) 949-9685
Enumeration DateOctober 16, 2012
✔ NPI 1497008312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NM · DD3647
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
7007 WYOMING BLVD NE STE C-2, Albuquerque, NM 87109
Open in Google Maps ↗

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 Sandia Pediatric Dentistry's NPI number?

The NPI number for Sandia Pediatric Dentistry is 1497008312. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Sandia Pediatric Dentistry located?

Sandia Pediatric Dentistry is located at 7007 Wyoming Blvd NE Ste C-2, Albuquerque, NM 87109. The listed phone number is (505) 200-3516.

What is Sandia Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Sandia Pediatric Dentistry was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.