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Bear Canyon Family Dentistry LLC — NPI 1265860936, Albuquerque, NM | NPI Central

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NPI 1265860936

OrganizationActive

Bear Canyon Family Dentistry LLC

NPI 1265860936 · General Practice Dentistry · Albuquerque, NM

Provider details

NPI number: 1265860936
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Carissa Greinel-Blum, Owner(505) 821-1430
License: DD2155 (NM)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DD3005 (NM)
Dental Providers
General Practice Dentistry1223G0001XLicense DD2155 (NM)
Dental Providers
General Practice Dentistry1223G0001XLicense DD3003 (NM)
Dental Providers

Practice location

7007 Wyoming Blvd Ne Ste B2

Albuquerque, NM 87109-3982

Phone: (505) 821-1430

Fax: (505) 821-1442

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

7007 Wyoming Blvd Ne Ste B2

Albuquerque, NM 87109-3982

Registry dates

Enumerated: 2013-10-16
Last updated: 2013-10-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.