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FARMINGTON ORAL & MAXILLOFACIAL SURGICAL CLINIC NPI 1801963939


NPI Information

NPI: 1801963939
Provider Name: FARMINGTON ORAL & MAXILLOFACIAL SURGICAL CLINIC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
20 CR 6070
FARMINGTON, NM
ZIP 87401
Phone: (505) 590-9085
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FARMINGTON ORAL & MAXILLOFACIAL SURGICAL CLINIC is an oral and maxillofacial surgery dentist in Farmington, NM. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FARMINGTON ORAL & MAXILLOFACIAL SURGICAL CLINIC NPI is 1801963939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 CR 6070
FARMINGTON, NM
ZIP 87401
Phone: (505) 590-9085

The provider's authorized official is Cheryl J James .
The authorized official title is Office Manager and has the following contact phone number (505) 598-9085.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNMDD1931NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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