Individual
DR. PHILIP M. ABSHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 COORS BLVD NW STE E6, ALBUQUERQUE, NM 87121-2009
(505) 352-3808
(505) 352-3811
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13164
TX
1223G0001X
General Practice Dentistry
4209
OK
1223G0001X
General Practice Dentistry
Primary
DD2286
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44407572
—
NM
01
—
862018
UNITED CONCORDIA
NM
01
—
9218382
DENTAQUEST NM
NM
Enumeration date
08/02/2006
Last updated
08/26/2014
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