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Deactivated NPI 1790754620 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace Karl Kuligowski , DDS

Dentist • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wallace Kuligowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2006
NPI Deactivation Date July 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Kuligowski, DDS was a registered Dentist practicing in Albuquerque, NM. Throughout an active medical career spanning 19 years, Dr. Kuligowski provided care at the practice location at 3900 EUBANK BLVD NE until profile deactivation on 2025-07-10.

Practice Location & Contact Primary Location

Practice Address

3900 Eubank Blvd Ne

Albuquerque, NM 871113465

Telephone 5052987561
Associated Practice Facility / Clinic
🏢 Sandia Health Institute Pc Facility NPI 1255455234

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
213 Specialists

Practicing in Albuquerque, NM (630 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM 839

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1184702573

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3900 EUBANK BLVD NE, ALBUQUERQUE, NM 871113465 (Tel: 5052987561)

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Updated Business Mailing Address July 08, 2007

Registered at 3900 EUBANK BLVD NE, ALBUQUERQUE, NM 871113427 (Tel: 5052987561)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE KULIGOWSKI, DDS

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

Dentist (License #839 in NM)

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Initial NPI Registration & Enumeration March 14, 2006

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: 1790754620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: July 08, 2007
Deactivation Date: July 10, 2025

Mailing Address

3900 Eubank Blvd Ne

Albuquerque, NM 871113427

Phone: 5052987561

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.