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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.