Jerren Michael Alcalde, DDS

Dentist · Shiprock, NM

Individual Active NPI

NPI number 1164919304

Practice location

Us Hwy 491 North
Shiprock, NM 87420
Phone
(505) 368-6001
Fax
(505) 368-6360

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NPI record

NPI
1164919304
Entity type
Individual (Type 1)
Enumeration date
April 13, 2018
Last updated
February 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401416334 VA

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone
(505) 368-6001
Fax
(505) 368-6360

About Dr. Alcalde

Jerren Michael Alcalde, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is Us Hwy 491 North, Shiprock, NM 87420. The NPI number 1164919304 was assigned on April 13, 2018 and the record was last updated on February 6, 2019.

Dr. Alcalde lists a license in the registry: #0401416334 (VA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerren Michael Alcalde, DDS?

The NPI number is 1164919304.

What is the phone number of Dr. Alcalde?

The phone number listed for the practice location is (505) 368-6001.

Where is Dr. Alcalde located?

Us Hwy 491 North, Shiprock, NM 87420.

What is the taxonomy code for Dr. Alcalde?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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