# KID'S CHOICE DENTAL, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Choice Dental, Kid's Choice Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023396058
- **Authorized official:** DR. JOHN DAVID NOYES JR. DDS (PRESIDENT)
- **Authorized official phone:** (505) 352-5439

## Contact information

- **Practice address:** 120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
- **Practice address phone:** (505) 352-5439
- **Practice address fax:** (505) 821-8041
- **Mailing address:** 120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
- **Mailing address phone:** (505) 352-5439
- **Mailing address fax:** (505) 836-7533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2523 | NM | Yes |

## Other

- **Enumeration date:** 07/25/2011
- **Last updated:** 07/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1768244 | UNITED CONCORDIA | NM |
| 05 | — | 51004844 | — | NM |