A Better Smile Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DD4029 Issued in NM

Legal business name

A BETTER SMILE DENTISTRY LLC

Practice address

475 Coors Blvd NW
Suite a
Albuquerque, NM 87121-1425

Phone

(505) 208-0505

NPI assigned

Feb 13, 2017

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Li Bao, DMDNPI 1730501032

Title

Dentist

Phone

(505) 208-0505

Specialties & licenses 1

Addresses

Other names 1

• GOH Clinic Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Li Bao, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1730501032
  Medicare reassignment NPD Authorized official
• Sativa Marie Ridsdale, RDH BS

  • Dental Hygienist
  • Albuquerque, NM
  • NPI 1396508255
  NPD
• Tong Wang, DDS

  • General Practice Dentistry
  • La Fayette, NY
  • NPI 1285244319
  NPD

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1750820619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 COORS BLVD NW",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871211425",
            "telephone_number": "619-548-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 COORS BLVD NW",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871211425",
            "telephone_number": "505-208-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Barbara Loop SE Ste E2",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241068",
            "country_code": "US",
            "telephone_number": "505-208-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A BETTER SMILE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-208-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOH Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.