Healthcare Provider Details

I. General information

NPI: 1831054477
Provider Name (Legal Business Name): ROHAN S. TOOR, DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 MORRIS ST NE STE D
ALBUQUERQUE NM
87111-3605
US

IV. Provider business mailing address

4101 MORRIS ST NE STE D
ALBUQUERQUE NM
87111-3605
US

V. Phone/Fax

Practice location:
  • Phone: 925-786-5022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ROHAN SINGH TOOR
Title or Position: OWNER
Credential: DDS
Phone: 925-786-5022