Bosque801

General Practice Dentistry · Albuquerque, NM

Organization Active NPI

NPI number 1861382822

Practice location

3613 Highway 528 NW Ste G
Albuquerque, NM 87114-8918
Phone
(505) 898-8011

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NPI record

NPI
1861382822
Entity type
Organization (Type 2)
Enumeration date
July 9, 2025
Last updated
July 18, 2025
Certified
July 18, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

3530 Escarpa Dr NW
Albuquerque, NM 87120-1511

Authorized official

Name
Rafael Rascon
Title
Dentist
Phone
(801) 949-0273

Other names

  • Bosque Dental
  • Bosque Dental

About Bosque801

Bosque801 is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3613 Highway 528 NW Ste G, Albuquerque, NM 87114-8918. The NPI number 1861382822 was assigned on July 9, 2025 and the record was last updated on July 18, 2025.

The authorized official for this organization is Rafael Rascon, Dentist.

Frequently asked questions

What is the NPI number of Bosque801?

The NPI number is 1861382822.

What is the phone number of Bosque801?

The phone number listed for the practice location is (505) 898-8011.

Where is Bosque801 located?

3613 Highway 528 NW Ste G, Albuquerque, NM 87114-8918.

What is the taxonomy code for Bosque801?

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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