Jordan S Arnell, DMD
Individual provider Active NPI Dentist · Farmington, NM
NPI 1801201017 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1801201017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DD4118 (NM)
- Practice address
- 800 E 30TH St BLDG 3
Farmington, NM 87401-9407 - Phone
- (505) 327-9161
- NPI assigned
- Jun 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD4118 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Family Dental of Farmington, LLC | Current |
Accepting new patients | |
| Summit Family Dental of Bernalillo, LLC | Current |
Accepting new patients |
Locations
800 E 30th St
Bldg 3
Farmington, NM 87401
Phone (505) 327-9161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD4118 | NM | Yes |
Addresses
Primary practice location
800 E 30TH St BLDG 3
Farmington, NM 87401-9407
Mailing address
4760 N Butler Ave
Suite C
Farmington, NM 87401-0816
Phone (505) 327-0044
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. 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.