# TILEY'S TOOTHFAIRIES

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932206026
- **Authorized official:** RAY ESPINOSA (OFFICE MANAGER)
- **Authorized official phone:** (505) 294-5500

## Contact information

- **Practice address:** 8012 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-4608
- **Practice address phone:** (505) 294-5500
- **Mailing address:** 8012 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-4608
- **Mailing address phone:** (505) 294-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NM2547 | NM | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020