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Active NPI 1619283702 Individual Practitioner Male Practitioner

Dr. Douglas Paul Chisholm , DMD

Dentist - General Practice • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Chisholm, DMD is a registered healthcare professional specializing in Dentist - General Practice in Albuquerque, NM. Practice services are available at 2010 JUAN TABO BLVD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2010 Juan Tabo Blvd Ne

Albuquerque, NM 871123306

Telephone 5052372273
Associated Practice Facility / Clinic

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 DD3317

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

6 Associated Practitioners
Dr. Bruce Irick , DDS

Dentist - General Practice

NPI 1396751632

Doctor of Dental Surgery

Tamera Maes , RDH

Dental Hygienist

NPI 1508568882

Registered Dental Hygienist

NPI 1558597013

Doctor of Dental Medicine

Dr. Cynthia Phelan , DDS

Dentist - General Practice

NPI 1669580627

Doctor of Dental Surgery

NPI 1700107661

Doctor of Dental Medicine

Dr. Sean Phelan , DDS

Dentist - General Practice

NPI 1942214358

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 August 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2010

Registered at 2010 JUAN TABO BLVD NE, ALBUQUERQUE, NM 871123306 (Tel: 5052372273)

📍
Updated Business Mailing Address August 26, 2010

Registered at 2010 JUAN TABO BLVD NE, ALBUQUERQUE, NM 871123306 (Tel: 5052372273)

👤
Provider Name / Credentials Updated August 26, 2010

Recorded as DOUGLAS CHISHOLM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2010

Dentist (License #DD3317 in NM)

🟢
Initial NPI Registration & Enumeration August 26, 2010

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: 1619283702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2010
Last Update: August 26, 2010
Sole Proprietor: Yes

Mailing Address

2010 Juan Tabo Blvd Ne

Albuquerque, NM 871123306

Phone: 5052372273

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.