# UNIVERSITY OF NEW MEXICO DENTAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXICO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841484763
- **Legal business name:** UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXICO
- **Authorized official:** GARY CUTTRELL D.D.S., J.D. (CHIEF ASSISTANT PROFESSOR)
- **Authorized official phone:** (505) 925-7797

## Contact information

- **Practice address:** 1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102-0001
- **Practice address phone:** (505) 925-7797
- **Practice address fax:** (505) 925-7800
- **Mailing address:** 1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102-0001
- **Mailing address phone:** (505) 925-7797
- **Mailing address fax:** (505) 925-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2136 | NM | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 05/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 28601831 | — | NM |