OrganizationActive
Juan Tabo Dentistry LLC
NPI 1477197804 · General Practice Dentistry · Albuquerque, NM
Juan Tabo Dentistry LLC is a General Practice Dentistry organization in Albuquerque, NM (NPI 1477197804).
Provider details
- NPI number
- 1477197804
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Faith Gaskins, Director of Credentialing(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1924 Juan Tabo Blvd Ne Ste C
Albuquerque, NM 87112-3358
Phone: (505) 293-3451
Street-level locationGet directions
Mailing address
1924 Juan Tabo Blvd Ne Ste C
Albuquerque, NM 87112-3358
Other names (DBA / former)
- Doing business as
- Delicate Dentistry
Registry dates
- Enumerated
- 2019-10-29
- Last updated
- 2019-10-29
Frequently asked questions
- What is Juan Tabo Dentistry LLC's NPI number?
- Juan Tabo Dentistry LLC's National Provider Identifier (NPI) is 1477197804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Juan Tabo Dentistry LLC?
- Juan Tabo Dentistry LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Juan Tabo Dentistry LLC located?
- Juan Tabo Dentistry LLC's practice location on file with NPPES is 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358.
- What is Juan Tabo Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Juan Tabo Dentistry LLC is (505) 293-3451.
- Who is the authorized official for Juan Tabo Dentistry LLC?
- The authorized official listed on Juan Tabo Dentistry LLC's NPPES record is Faith Gaskins, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Juan Tabo Dentistry LLC's NPI active?
- Yes — Juan Tabo Dentistry LLC's NPI (1477197804) is active in the NPPES registry as of the last update on 2019-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.