Provider Demographics
NPI:1992283576
Name:ARCE, JUSEMMY HAYDEE (DMD)
Entity type:Individual
Prefix:
First Name:JUSEMMY
Middle Name:HAYDEE
Last Name:ARCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6304 BELCHER AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4112
Mailing Address - Country:US
Mailing Address - Phone:786-258-1903
Mailing Address - Fax:
Practice Address - Street 1:6230 PASEO DEL NORTE NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2568
Practice Address - Country:US
Practice Address - Phone:505-244-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2018-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD4963122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist