Animas Pediatric Dentistry
Organization Active NPI Pediatric Dentistry · Farmington, NM
NPI 1619666732 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1619666732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- ANIMAS PEDIATRIC DENTISTRY
- Practice address
- 2650 E Pinon Frontage Rd BLDG 200
Farmington, NM 87402-5084 - Phone
- (505) 599-9359
- NPI assigned
- May 4, 2023
- Organization subpart
- No
Authorized official
- Name
- Jens Wilson, DMD
- Title
- Pediatric Dentist
- Phone
- (435) 459-4457
National Provider Directory
Locations
2650 E Pinon Frontage Rd
Bldg 200
Farmington, NM 87402
Phone (505) 599-9359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
2650 E Pinon Frontage Rd BLDG 200
Farmington, NM 87402-5084
Mailing address
2650 E Pinon Frontage Rd BLDG 200
Farmington, NM 87402-5084
Phone (505) 599-9359
Other providers in Farmington, NM
- Jennifer Diane Anderson
- Renita T Anderson
- Michael Kekoa Andrews
- Animas Dermatology MD PC
- Animas Pediatric Dental Group
- Animas Valley Back Cenrter
- Jan Michael Antonio
- Apria Healthcare LLC
- Melanie N Aranda
- Joshua Archuleta
All providers in Farmington, NM · Pediatric Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.