Brian R Papworth, DDS MS

Individual provider Active NPI Endodontics · Albuquerque, NM

NPI 1851450175 · NPPES record last updated Sep 24, 2009

Key facts

NPI
1851450175
Entity type
Individual (NPI type 1)
Primary specialty
Endodontics 1223E0200X
License
DD1759 (NM)
Practice address
10151 Montgomery Blvd NE
Suite 1-C
Albuquerque, NM 87111-3670
Phone
(505) 294-3636
Fax
(505) 294-4245
NPI assigned
Dec 6, 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DD1759NMMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Papworth Endodontics Endodontics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DD1759 NM Yes

Addresses

Primary practice location

10151 Montgomery Blvd NE
Suite 1-C
Albuquerque, NM 87111-3670

Mailing address

10151 Montgomery Blvd NE
Suite 1-C
Albuquerque, NM 87111-3670
Phone (505) 294-3636

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Endodontics in New Mexico

Sources for this page

Verify at the official NPI Registry.