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

Individual provider Dentist · NPI 1003225236

Dan Lafferty Jr., DMD is a Dentist in Albuquerque, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico and Oregon.

Licensed in
NM, OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4550 Eubank Blvd NE Ste 101
Albuquerque, NM 87111-2565
Phone: (505) 292-8588
Fax: (505) 292-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 554 Keily Street, Jacksonville, FL 32212 — (757) 953-7011

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10121 (OR)
Dentist Taxonomy 122300000X · Licence DD4838 (NM)

Record details

NPI number1003225236
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address554 Keily Street, Bureau Of Medicine & Surgery - Centralized Credentiali, Jacksonville, FL 32212

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