| Dr Jared Michael Southwell, DMD | |
|
3 Road 6523, Kirtland, NM 87417-9452 | |
| (505) 598-6800 | |
| (505) 598-6830 |
| Full Name | Dr Jared Michael Southwell |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3 Road 6523, Kirtland, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689950503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD3690 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared Michael Southwell, DMD 204 W 38th St, Farmington, NM 87401-4036 Ph: (805) 657-2913 | Dr Jared Michael Southwell, DMD 3 Road 6523, Kirtland, NM 87417-9452 Ph: (505) 598-6800 |
Cody Burnell Coleman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 County Road 6523, Kirtland, NM 87417 Phone: 505-598-6800 | |
Taylor Clark, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3 Road 6523, Kirtland, NM 87417 Phone: 505-598-6800 | |
Michael Darais, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 County Road 6523, Kirtland, NM 87417 Phone: 505-598-6800 | |
Bruce Brondon Shaheen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: #3 Cr 6523, Sundance Dental Care Of Kirtland, Kirtland, NM 87417 Phone: 505-598-6800 Fax: 505-598-6830 | |
Dr. Chris John Giblette, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: #3 Cr 6523, Kirtland, NM 87417 Phone: 505-598-6800 | |
Dr. Shaun Henderson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 Road 6523, Kirtland, NM 87417 Phone: 505-598-6800 |