Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164411682 Individual Practitioner Male Practitioner

Dr. Michael Wayne Davis , DDS

Dentist - General Practice • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. Michael Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Albuquerque, NM. Practice services are available at 4100 HAWKINS ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 Hawkins St Ne
Mira Consulting

Albuquerque, NM 871094548

Telephone 5058982797
Associated Practice Facility / Clinic
🏢 Mira Consulting, Incorporated Facility NPI 1609908763

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
306 Specialists

Practicing in Albuquerque, NM (761 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DD2044

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1780807131

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4100 HAWKINS ST NE, MIRA CONSULTING, ALBUQUERQUE, NM 871094548 (Tel: 5058982797)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12315 TAMARAC TRL NE, ALBUQUERQUE, NM 871116210 (Tel: 5052940959)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DD2044 in NM)

🟢
Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164411682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

12315 Tamarac Trl Ne

Albuquerque, NM 871116210

Phone: 5052940959

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.