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LAS ESTANCIAS DENTAL GROUP
NPI 1639537533
Dentist - General Practice in Albuquerque, NM

Active since February 05, 2016CLIA 32D2121779 · Waiver
3715 LAS ESTANCIAS WAY SW, 101, ALBUQUERQUE, NM 87121(505) 209-9081(505) 792-6111 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Las Estancias Dental Group NPPES

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

LAS ESTANCIAS DENTAL GROUP (NPI 1639537533) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Mario Herrejon-ruiz, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1639537533
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAS ESTANCIAS DENTAL GROUP, PROFESSIONAL CORPORATION
Location Address3715 LAS ESTANCIAS WAY SW, 101Albuquerque, NM 87121-5506
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Phone(505) 209-9081
Fax(505) 792-6111
Organization SubpartNo
Authorized OfficialMario Herrejon-ruizOwner Dentist · (505) 209-9081
Enumeration DateFebruary 5, 2016
✔ NPI 1639537533 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.
3715 LAS ESTANCIAS WAY SW, Albuquerque, NM 87121
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Other Names 1

Doing Business AsLas Estancias Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2121779

Las Estancias · Albuquerque, NM
Active · expires Mar 13, 2028
CLIA Number32D2121779
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorRichard Roche
Laboratory Phone(505) 727-5630
Laboratory LocationLas Estancias3900 Las Estancias Ct, SW, Albuquerque, NM 87121
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Las Estancias Dental Group, Professional Corporation's NPI number?

The NPI number for Las Estancias Dental Group, Professional Corporation is 1639537533. It was assigned to this organization in the NPPES registry on February 5, 2016. The provider is doing business as Las Estancias Dental Group.

Where is Las Estancias Dental Group, Professional Corporation located?

Las Estancias Dental Group, Professional Corporation is located at 3715 Las Estancias Way SW 101, Albuquerque, NM 87121. The listed phone number is (505) 209-9081.

What is Las Estancias Dental Group, Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Las Estancias Dental Group, Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2121779) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Las Estancias Dental Group, Professional Corporation was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.