Sandia Pediatric Dentistry
NPI 1497008312ActiveOrganization· Dentist, Pediatric Dentistry· Albuquerque, NM
Dentist, Pediatric Dentistry in Albuquerque, New Mexico, registered in NPPES in October 2012. The authorized official on file is Danen Scott Sjostrom, DDS, PH.D, Pediatric Dentist.
Overview
| NPI | 1497008312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2012 |
| Last updated in NPPES | Oct 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | DD3647 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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