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

Individual provider Dentist · NPI 1174772016

Dr. Jeremy R Dockstader, DMD is a Dentist in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico and Utah.

Licensed in
NM, UT
In the registry since
2008
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

4701 Lomas Blvd NE
Albuquerque, NM 87110-6233
Phone: (505) 232-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD3444 (NM)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7106444-9922 (UT)

Record details

NPI number1174772016
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 16, 2008
Last updated in NPPESJanuary 28, 2013

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