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ADVANCED ENDODONTICS
NPI 1922586262
Dentist - Endodontics in Albuquerque, NM

Active since July 30, 2018
7520 MONTGOMERY BLVD NE BLDG E1, ALBUQUERQUE, NM 87109(505) 797-1212(505) 823-1831 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Endodontics NPPES

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

ADVANCED ENDODONTICS (NPI 1922586262) is a healthcare organization registered as an endodontics in Albuquerque, New Mexico and active in the NPI registry since July 2018. The organization lists Shane T Clark, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1922586262
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameCLARK ENDODONTICS LLC
Location Address7520 MONTGOMERY BLVD NE BLDG E1Albuquerque, NM 87109
Mailing Address7520 Montgomery Blvd Ne Bldg E1Albuquerque, NM 87109-1554 · (505) 797-1212 · Fax (505) 823-1831
Phone(505) 797-1212
Fax(505) 823-1831
Organization SubpartNo
Authorized OfficialShane T ClarkDoctor/owner · (505) 797-1212
Enumeration DateJuly 30, 2018
✔ NPI 1922586262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NM · DD4100
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
7520 MONTGOMERY BLVD NE BLDG E1, Albuquerque, NM 87109
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Other Names 1

Doing Business AsAdvanced Endodontics

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 Clark Endodontics LLC's NPI number?

The NPI number for Clark Endodontics LLC is 1922586262. It was assigned to this organization in the NPPES registry on July 30, 2018. The provider is doing business as Advanced Endodontics.

Where is Clark Endodontics LLC located?

Clark Endodontics LLC is located at 7520 Montgomery Blvd NE Bldg E1, Albuquerque, NM 87109. The listed phone number is (505) 797-1212.

What is Clark Endodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Clark Endodontics LLC was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.