Healthcare Provider Details

I. General information

NPI: 1356467070
Provider Name (Legal Business Name): ACC CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9008 WASHINGTON ST NE
ALBUQUERQUE NM
87113-2704
US

IV. Provider business mailing address

9008 WASHINGTON ST NE
ALBUQUERQUE NM
87113-2704
US

V. Phone/Fax

Practice location:
  • Phone: 505-323-1300
  • Fax: 505-323-1400
Mailing address:
  • Phone: 505-323-1300
  • Fax: 505-323-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number394
License Number StateNM

VIII. Authorized Official

Name: VIRGINIA M. BERGER
Title or Position: CEO
Credential: RDH
Phone: 505-323-1300