Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oral and Maxillofacial Surgery Associate of New Mexico, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1689876963

Oral and Maxillofacial Surgery Associate of New Mexico, PA is an Oral and Maxillofacial Surgery (Dentist) in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6800 Montgomery Blvd NE Ste A
Albuquerque, NM 87109-1405
Phone: (505) 881-1130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 02-256180-00-3 (NM)

Record details

NPI number1689876963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mitchell — Managing Partner · (505) 881-1130
NPI enumeratedMay 31, 2007
Last updated in NPPESJuly 8, 2009
Mailing address6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405

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