CDB 550 LLC

General Practice Dentistry · Bernalillo, NM

Organization Active NPI

NPI number 1174992564

Practice location

120 E Highway 550
Bernalillo, NM 87004-5967
Phone
(505) 550-0503

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NPI record

NPI
1174992564
Entity type
Organization (Type 2)
Enumeration date
September 16, 2015
Last updated
September 16, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DD3662 NM

Authorized official

Name
Dr. Jonah L Foutz, DD3662
Title
Owner
Phone
(505) 550-0305

Other names

  • DBA Celebrate Dental and Braces

About CDB 550 LLC

CDB 550 LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 120 E Highway 550, Bernalillo, NM 87004-5967. The NPI number 1174992564 was assigned on September 16, 2015 and the record was last updated on September 16, 2015.

CDB 550 LLC lists a license in the registry: #DD3662 (NM) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Jonah L Foutz, DD3662, Owner.

Frequently asked questions

What is the NPI number of CDB 550 LLC?

The NPI number is 1174992564.

What is the phone number of CDB 550 LLC?

The phone number listed for the practice location is (505) 550-0503.

Where is CDB 550 LLC located?

120 E Highway 550, Bernalillo, NM 87004-5967.

What is the taxonomy code for CDB 550 LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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