Great White Dentistry is a Dental Clinic in Albuquerque, New Mexico. It is located at 5555 Montgomery Blvd Ne Ste 17, Albuquerque, NM and its contact number is 505-881-0422. The authorized person for Great White Dentistry is Dr. Michael Scott Isham
who is Owner/dentist of the clinic and their contact number is 505-881-0422. The primary license number for Great White Dentistry is DD4733 (General Practice) in New Mexico.
Great White Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Great White Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Great White Dentistry |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 5555 Montgomery Blvd Ne Ste 17, Albuquerque,
New Mexico, 87109-1445 |
| Phone: | 505-881-0422 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Michael Scott Isham |
| Position: | Owner/dentist |
| Contact Number: | 505-881-0422 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Great White Dentistry clinic are as mentioned below.
| NPI Number: | 1639663792 |
| NPI Enumeration Date: | 21 Jun, 2018 |
| NPI Last Update On: | 21 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great White Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DD4733 | New Mexico | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 48108588 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Great White Dentistry
5555 Montgomery Blvd Ne Ste 17,
Albuquerque, New Mexico |
| Zip: | 87109-1445 |
| Phone Number: | 505-881-0422 |
Patients can reach Great White Dentistry at
5555 Montgomery Blvd Ne Ste 17, Albuquerque, New Mexico or can
call to book an appointment on 505-881-0422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.