| Dr. Jack O. Smalley Dss | |
|
2650 E Pinon Frontage Rd Bldg 300 Farmington NM 87402-5084 | |
| (505) 327-3331 | |
| (505) 327-0873 |
| Full Name | Dr. Jack O. Smalley Dss |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2650 E Pinon Frontage Rd Bldg 300, Farmington, New Mexico |
| Authorized Official Name and Position | Deanza D Sona (OFFICE MANAGER) |
| Authorized Official Contact | 5053273331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jack O. Smalley Dss 2650 E Pinon Frontage Rd Bldg 300 Farmington NM 87402-5084 Ph: (505) 327-3331 | Dr. Jack O. Smalley Dss 2650 E Pinon Frontage Rd Bldg 300 Farmington NM 87402-5084 Ph: (505) 327-3331 |
| NPI Number | 1063989531 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 11/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063989531 | NPI | - | NPPES |
| 84279826 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr. Jack Smalley D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 N Butler Ave, Farmington, NM 87401 Phone: 505-327-3331 Fax: 505-327-0873 | |
Dental Studio On 30th Street Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E 30th St, Farmington, NM 87401 Phone: 505-325-8858 | |
San Juan Oral & Facial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2990 E Pinon Frontage Rd Ste 102, Farmington, NM 87402 Phone: 505-333-8635 Fax: 505-258-4909 | |
Ncdi - Animas Professional, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 E Pinon Frontage Rd, Bldg #200, Farmington, NM 87402 Phone: 505-599-9359 | |
Beckland Dental Kids Of Farmington Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Beckland Dr, Farmington, NM 87402 Phone: 505-436-2735 Fax: 505-436-2735 | |
James R Cole D.d.s.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E 30th St Bldg 1, Farmington, NM 87401 Phone: 505-327-0441 Fax: 505-324-9473 |