Provider Demographics
NPI:1851450175
Name:PAPWORTH, BRIAN R (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:R
Last Name:PAPWORTH
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:10151 MONTGOMERY BLVD NE
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3670
Mailing Address - Country:US
Mailing Address - Phone:505-294-3636
Mailing Address - Fax:505-294-4245
Practice Address - Street 1:10151 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE 1-C
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3670
Practice Address - Country:US
Practice Address - Phone:505-294-3636
Practice Address - Fax:505-294-4245
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2009-09-24
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Provider Licenses
StateLicense IDTaxonomies
NMDD17591223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics