Cottonwood Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1464 Issued in NM

Legal business name

COTTONWOOD DENTAL, LLC

Practice address

3613 NM State Hwy 528
Suite D
Albuquerque, NM 87114-8918

Phone

(505) 899-7645

Fax

(505) 897-7415

NPI assigned

Aug 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David R Giaquinto, DDS

Title

Owner

Phone

(505) 899-7645

Specialties & licenses 1

Addresses

Other names 1

• David Giaquinto, DDS Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1356741193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NM STATE HWY 528",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148918",
            "telephone_number": "505-899-7645",
            "fax_number": "505-897-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NM STATE HWY 528",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148918",
            "telephone_number": "505-899-7645",
            "fax_number": "505-897-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "GIAQUINTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-899-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Giaquinto, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenna Cotton, CRNA
• Carolyn Janice Cotton, NP
• James Brian Cotton
• Cottonwood Counseling PLLC Dba Desert Pear Psychotherapy
• Cottonwood Counseling, LLC
• Cottonwood Family Medicine LLC
• Cottonwood Home Health Care LLC
• Cottonwood Mall Dental Practice, LLC
• Cottonwood Orthodontics, PC
• Cottonwood Smiles Dentistry and Orthodontics, LLC

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.