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

Individual provider Dentist · NPI 1164937421

Dr. Shane Gregory Krohnfeldt, DDS is a Dentist in Albuquerque, New Mexico. Licensed in California and New Mexico. Registered with an NPI since 2017.

Licensed in
CA, NM
In the registry since
2017
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6425 Holly Ave NE
Albuquerque, NM 87113-2474
Phone: (505) 828-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD4823 (NM)
Dentist Taxonomy 122300000X · Licence DD4823 (NM)
General Practice Dentistry Taxonomy 1223G0001X · Licence 103623 (CA)

Record details

NPI number1164937421
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 8, 2017
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address6425 Holly Ave Ne, Albuquerque, NM 87113-2474

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