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

Sjt Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1154804755

Sjt Pediatric Dentistry LLC is a Pediatric Dentistry in Albuquerque, New Mexico. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4620 Jefferson Ln NE Ste C
Albuquerque, NM 87109-2149
Phone: (505) 888-3520
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1154804755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebonie Gonzales — Credentialing Manager · (505) 850-3769
Other names Abq Pediatric Dentistry
NPI enumeratedSeptember 10, 2018
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address4620 Jefferson Ln Ne Ste C, Albuquerque, NM 87109-2149

Other providers in Albuquerque