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

Li Bao, DMD

Individual provider Dentist · NPI 1730501032

Li Bao, DMD is an Oral Surgery in Albuquerque, New Mexico. Graduated from Boston Univ Goldman School of Dental Medicine in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
13
Trained at
Boston Univ Goldman School of Dental Medicine
Licensed in
CA, NM
In the registry since
2014
Specialties on file
4
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

475 Coors Blvd NW Ste A
Albuquerque, NM 87121-1426
Phone: (505) 208-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4111 Barbara Loop Se Ste E2, Rio Rancho, NM 87124-1068 — (505) 208-0505

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DD4029 (NM)
Dentist Taxonomy 122300000X · Licence 63209 (CA)
Dentist Taxonomy 122300000X · Licence DD4029 (NM)
General Practice Dentistry Taxonomy 1223G0001X · Licence DD4029 (NM)

Record details

NPI number1730501032
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 7, 2014
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address475 Coors Blvd Nw Ste A, Albuquerque, NM 87121-1426

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolBOSTON UNIV GOLDMAN SCHOOL OF DENTAL MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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