NPI 1003225236

Dan Lafferty, DMD

Practitioner Dentist Albuquerque, NM

Practice location

Address: 4550 Eubank Blvd NE STE 101, Albuquerque, NM 87111-2565
Phone: (505) 292-8588
Fax: (505) 292-3100
Mailing address: 554 Keily Street Bureau of Medicine & Surgery - Centralized Credentiali, Jacksonville, FL 32212

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D10121 (OR)

Other Dentist providers in New Mexico →

Dentist

Dental Providers Taxonomy 122300000X Licence DD4838 (NM)

Registry record

NPI: 1003225236
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2014
Record last updated: 18 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.