# HERO DENTAL OF ALBUQUERQUE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventure Dental, Vision and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871881623
- **Authorized official:** MR. SHAUN URBANOZO (CREDENTIALING MANAGER)
- **Authorized official phone:** (719) 323-2362

## Contact information

- **Practice address:** 5000 MENAUL BLVD, STE B, ALBUQUERQUE, NM 87110-3046
- **Practice address phone:** (505) 872-1212
- **Practice address fax:** (505) 872-1213
- **Mailing address:** 2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
- **Mailing address phone:** (719) 955-8896
- **Mailing address fax:** (719) 955-3470

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 09/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 56620721 | — | NM |