PRIME DENTAL, L.L.C.
NPI 1962711705
Dentist - General Practice in Albuquerque, NM

Active since September 28, 2010
8611 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114(505) 891-6101 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Dental, L.l.c. NPPES

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

PRIME DENTAL, L.L.C. (NPI 1962711705) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since September 2010. The organization lists Sun Chun Kim, President, as its authorized official.

NPPES Registry Identity

NPI1962711705
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIME DENTAL, L.L.C.
Location Address8611 GOLF COURSE RD NWAlbuquerque, NM 87114-5775
Mailing Address8611 Golf Course Rd NwAlbuquerque, NM 87114-5775 · (505) 891-6101
Organization SubpartNo
Authorized OfficialSun Chun KimPresident · (404) 610-6816
Enumeration DateSeptember 28, 2010
NPI 1962711705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in NM · DD3398 Licensed in GA · DN013943
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.
8611 GOLF COURSE RD NW, Albuquerque, NM 87114

Other Identifiers 2

OtherDN013943GA · Georgia Board Of Dentistry
OtherDD3398NM · New Mexico Board Of Dental Care

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

Other Providers at the Same Location NPPES 2

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

Dentist
8611 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114
Dentist
8611 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114

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 Prime Dental, L.L.C.'s NPI number?

The NPI number for Prime Dental, L.L.C. is 1962711705. It was assigned to this organization in the NPPES registry on September 28, 2010.

Where is Prime Dental, L.L.C. located?

Prime Dental, L.L.C. is located at 8611 Golf Course Rd NW, Albuquerque, NM 87114. The listed phone number is (505) 891-6101.

What is Prime Dental, L.L.C.'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 Prime Dental, L.L.C. was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.