Provider Demographics
NPI:1356467070
Name:ACC CONSULTANTS
Entity Type:Organization
Organization Name:ACC CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:505-323-1300
Mailing Address - Street 1:9008 WASHINGTON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2704
Mailing Address - Country:US
Mailing Address - Phone:505-323-1300
Mailing Address - Fax:505-323-1400
Practice Address - Street 1:9008 WASHINGTON ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2704
Practice Address - Country:US
Practice Address - Phone:505-323-1300
Practice Address - Fax:505-323-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM394124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty