Robert Steven Lash, D.D.S. , P.C.

Individual provider Active NPI Endodontics · Albuquerque, NM

NPI 1508926692 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508926692
Entity type
Individual (NPI type 1)
Primary specialty
Endodontics 1223E0200X
License
DD1487 (NM)
Practice address
10409 Montgomery Pkwy NE
Suite 100
Albuquerque, NM 87111-3852
Phone
(505) 291-8630
Fax
(505) 292-7563
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DD1487NMMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S.Lash, D.D.S. Endodontics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DD1487 NM Yes

Addresses

Primary practice location

10409 Montgomery Pkwy NE
Suite 100
Albuquerque, NM 87111-3852

Mailing address

10409 Montgomery Pkwy NE
Suite 100
Albuquerque, NM 87111-3852
Phone (505) 291-8630

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Endodontics in New Mexico

Sources for this page

Verify at the official NPI Registry.