OrganizationActive
Great White Dentistry
NPI 1639663792 · General Practice Dentistry · Albuquerque, NM
Great White Dentistry is a General Practice Dentistry organization in Albuquerque, NM (NPI 1639663792).
Provider details
- NPI number
- 1639663792
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Isham, Owner/Dentist(505) 881-0422
- License
- DD4733 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5555 Montgomery Blvd Ne Ste 17
Albuquerque, NM 87109-1445
Phone: (505) 881-0422
Street-level locationGet directions
Mailing address
5555 Montgomery Blvd Ne Ste 17
Albuquerque, NM 87109-1445
Other names (DBA / former)
- Doing business as
- Isham Dental
- Doing business as
- Isham Dental
Registry dates
- Enumerated
- 2018-06-21
- Last updated
- 2018-06-21
Frequently asked questions
- What is Great White Dentistry's NPI number?
- Great White Dentistry's National Provider Identifier (NPI) is 1639663792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great White Dentistry?
- Great White Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Great White Dentistry located?
- Great White Dentistry's practice location on file with NPPES is 5555 Montgomery Blvd Ne Ste 17, Albuquerque, NM 87109-1445.
- What is Great White Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Great White Dentistry is (505) 881-0422.
- Who is the authorized official for Great White Dentistry?
- The authorized official listed on Great White Dentistry's NPPES record is Michael Isham, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great White Dentistry's NPI active?
- Yes — Great White Dentistry's NPI (1639663792) is active in the NPPES registry as of the last update on 2018-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.