OMNI DENTAL, LLC
NPI 1629356209
Dentist in Albuquerque, NM

Active since July 29, 2011
7111 PROSPECT PL NE, SUITE B, ALBUQUERQUE, NM 87110(505) 888-5131(505) 888-5135 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Omni Dental, Llc NPPES

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

OMNI DENTAL, LLC (NPI 1629356209) is a healthcare organization registered as a dentist in Albuquerque, New Mexico and active in the NPI registry since July 2011. The organization lists Pe Chang, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1629356209
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOMNI DENTAL, LLC
Location Address7111 PROSPECT PL NE, SUITE BAlbuquerque, NM 87110-4309
Mailing Address7111 Prospect Pl Ne, Suite BAlbuquerque, NM 87110-4309 · (505) 888-5131 · Fax (505) 888-5135
Fax(505) 888-5135
Organization SubpartNo
Authorized OfficialPe ChangCo-owner · (505) 888-5131
Enumeration DateJuly 29, 2011
NPI 1629356209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NM · DD2344
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7111 PROSPECT PL NE, Albuquerque, NM 87110

Other Identifiers 2

Other1505220United Concordia
Medicaid55120725NM

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 7

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

Dentist (Orthodontics and Dentofacial Orthopedics)
7111 PROSPECT PL NE, SUITE C
ALBUQUERQUE, NM 87110
Dentist (General Practice)
7111 PROSPECT PL NE, SUITE D201
ALBUQUERQUE, NM 87110
Dentist
7111 PROSPECT PL NE, SUITE B
ALBUQUERQUE, NM 87110
Dentist (General Practice)
7111 PROSPECT PL NE, SUITE D-301
ALBUQUERQUE, NM 87110
Dentist
7111 PROSPECT PL NE, SUITE D
ALBUQUERQUE, NM 87110
Dentist
7111 PROSPECT PL NE, SUITE B
ALBUQUERQUE, NM 87110
Dentist
7111 PROSPECT PL NE, SUITE D-301
ALBUQUERQUE, NM 87110

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 Omni Dental, LLC's NPI number?

The NPI number for Omni Dental, LLC is 1629356209. It was assigned to this organization in the NPPES registry on July 29, 2011.

Where is Omni Dental, LLC located?

Omni Dental, LLC is located at 7111 Prospect Pl NE Suite B, Albuquerque, NM 87110. The listed phone number is (505) 888-5131.

What is Omni Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Omni Dental, LLC was last updated on July 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.