Farmington Dental Care | |
2700 Farmington Ave Suite C-1 Farminton NM 87401-4550 | |
(505) 327-0044 | |
(505) 325-0817 |
Full Name | Farmington Dental Care |
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Speciality | Dentist - General Practice |
Location | 2700 Farmington Ave, Farminton, New Mexico |
Authorized Official Name and Position | Lloyd Brent Jackson (OWNER DENTIST) |
Authorized Official Contact | 5053270044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Farmington Dental Care 2700 Farmington Ave Suite C-1 Farminton NM 87401-4550 Ph: (505) 327-0044 | Farmington Dental Care 2700 Farmington Ave Suite C-1 Farminton NM 87401-4550 Ph: (505) 327-0044 |
NPI Number | 1336243476 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1336243476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |