Individual provider · Type 1 NPI

Jeremy R. Dockstader, DMD

Dentist · Albuquerque, NM

NPI number 1174772016 Active

Practice location

4701 Lomas Blvd NE
Albuquerque, NM 87110-6233

Mailing address

4701 Lomas Blvd
Albuquerque, NM 87110

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDD3444 (NM)
General Practice Dentistry 1223G0001X7106444-9922 (UT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1174772016

Jeremy R. Dockstader, DMD's National Provider Identifier is 1174772016, issued on Sep 16, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 28, 2013.