IndividualActive
Danen Sjostrom, DDS, PHD
NPI 1427379130 · Pediatric Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1427379130
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- DD3647 (NM)
Specialties & taxonomies
Dental Providers
Practice location
7007 Wyoming Blvd Ne
Suite C-2
Albuquerque, NM 87109-3987
Phone: (614) 949-9685
Approximate (ZIP-level) locationGet directions
Mailing address
7007 Wyoming Blvd Ne
Albuquerque, NM 87109-3987
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.