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ALBUQUERQUE WEST SMILES YOUTH DENTISTRY, PC
NPI 1730137217
Dentist - General Practice in Albuquerque, NM

Active since May 05, 2006
111 COORS BLVD NW, E-6, ALBUQUERQUE, NM 87121(505) 352-3808(505) 352-3811 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Albuquerque West Smiles Youth Dentistry, Pc NPPES

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

ALBUQUERQUE WEST SMILES YOUTH DENTISTRY, PC (NPI 1730137217) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since May 2006. The organization lists Kim Freeman, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1730137217
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALBUQUERQUE WEST SMILES YOUTH DENTISTRY, PC
Location Address111 COORS BLVD NW, E-6Albuquerque, NM 87121-2006
Mailing Address111 Coors Blvd Nw Ste E6Albuquerque, NM 87121-2009 · (505) 352-3808 · Fax (505) 352-3811
Phone(505) 352-3808
Fax(505) 352-3811
Organization SubpartNo
Authorized OfficialKim FreemanRegional Manager · (505) 377-9911
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1730137217 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.
111 COORS BLVD NW, Albuquerque, NM 87121
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Other Identifiers 1

Medicaid77532NM

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 11

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

MS. VICTORIA ANN FITZGERALD PHARMD
Pharmacist
111 COORS BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 836-5322
SMITHS FOOD & DRUG CENTERS INC
Pharmacy (Community/Retail Pharmacy)
111 COORS BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 836-5322
COURTNEY MAE HERN PHARMD
Pharmacist
111 COORS BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 836-5322
JULIET V SMITH-EDWARDS
Dentist (General Practice)
111 COORS BLVD NW, E-6
ALBUQUERQUE, NM 87121
Bernalillo County (505) 352-3808
DAVID ANTHONY CASTILLO
Dentist (General Practice)
111 COORS BLVD NW, E-6
ALBUQUERQUE, NM 87121
Bernalillo County (505) 352-3808
DR. JC THOMAS LOVELACE RPH
Pharmacist
111 COORS BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 836-5322
LORRAINE F ZIEGLER RDH
Dental Hygienist
111 COORS BLVD NW, SUITE E1
ALBUQUERQUE, NM 87121
Bernalillo County (505) 833-0024
DR. NESTOR S MACIAS JR. PHARM. D
Pharmacist
111 COORS BLVD NW
ALBUQUERQUE, NM 87121
Bernalillo County (505) 836-5322

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 Albuquerque West Smiles Youth Dentistry, PC's NPI number?

The NPI number for Albuquerque West Smiles Youth Dentistry, PC is 1730137217. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Albuquerque West Smiles Youth Dentistry, PC located?

Albuquerque West Smiles Youth Dentistry, PC is located at 111 Coors Blvd NW E-6, Albuquerque, NM 87121. The listed phone number is (505) 352-3808.

What is Albuquerque West Smiles Youth Dentistry, PC'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 Albuquerque West Smiles Youth Dentistry, PC was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.