| San Juan College | |
|
4601 College Blvd Dental Clinic Farmington NM 87402-4609 | |
| (505) 566-3126 | |
| (505) 566-3790 |
| Full Name | San Juan College |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4601 College Blvd, Farmington, New Mexico |
| Authorized Official Name and Position | Carol Spencer (PRESIDENT) |
| Authorized Official Contact | 5055663209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan College 4601 College Blvd Farmington NM 87402-4609 Ph: (505) 566-3126 | San Juan College 4601 College Blvd Dental Clinic Farmington NM 87402-4609 Ph: (505) 566-3126 |
| NPI Number | 1679740013 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679740013 | NPI | - | NPPES |
| 59457538 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DD-2461 (New Mexico) | Primary |
Dr. Jack O. Smalley Dss Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 E Pinon Frontage Rd Bldg 300, Farmington, NM 87402 Phone: 505-327-3331 Fax: 505-327-0873 | |
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 |