OrganizationActive
Open Wide Dentistry LLC
NPI 1255581393 · Dental Clinic/Center · Albuquerque, NM
Open Wide Dentistry LLC is a Dental Clinic/Center organization in Albuquerque, NM (NPI 1255581393).
Provider details
- NPI number
- 1255581393
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Keanna, Owner(505) 292-8533
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Lead Ave Se
Albuquerque, NM 87106
Phone: (505) 292-8533
Fax: (505) 292-2712
Street-level locationGet directions
Mailing address
1100 Lead Ave Se
Albuquerque, NM 87106-5215
Registry dates
- Enumerated
- 2008-09-25
- Last updated
- 2008-09-25
Frequently asked questions
- What is Open Wide Dentistry LLC's NPI number?
- Open Wide Dentistry LLC's National Provider Identifier (NPI) is 1255581393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Open Wide Dentistry LLC?
- Open Wide Dentistry LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Open Wide Dentistry LLC located?
- Open Wide Dentistry LLC's practice location on file with NPPES is 1100 Lead Ave Se, Albuquerque, NM 87106.
- What is Open Wide Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Open Wide Dentistry LLC is (505) 292-8533.
- Who is the authorized official for Open Wide Dentistry LLC?
- The authorized official listed on Open Wide Dentistry LLC's NPPES record is Sandra Keanna, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Open Wide Dentistry LLC's NPI active?
- Yes — Open Wide Dentistry LLC's NPI (1255581393) is active in the NPPES registry as of the last update on 2008-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.