IndividualActive
Jim Fuqua, DDS
NPI 1497848188 · Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1497848188
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3274 (NC)
Specialties & taxonomies
Dental Providers
Practice location
Albuquerque Indian Health Service Dental Clinic
9169 Coors Road Nw
Albuquerque, NM 87193
Phone: (505) 346-2306
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 411957
Melbourne, FL 32941-1957
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2026-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.