Healthcare Provider Details

I. General information

NPI: 1992283576
Provider Name (Legal Business Name): JUSEMMY HAYDEE SLINKARD DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUSEMMY HAYDEE ARCE

II. Dates (important events)

Enumeration Date: 08/05/2018
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 PASEO DEL NORTE NE STE B
ALBUQUERQUE NM
87113-2568
US

IV. Provider business mailing address

3400 NM 528 A-107
ALBUQUERQUE NM
87114
US

V. Phone/Fax

Practice location:
  • Phone: 505-244-3000
  • Fax:
Mailing address:
  • Phone: 505-244-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDD4963
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: