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Dr. Jack O. Smalley Dss
General Practice Dentistry in Farmington, New Mexico
NPI 1063989531

Dr. Jack O. Smalley Dss is a General Practice Dentistry based in Farmington, NM and is specialized in General Practice. Dr. Jack O. Smalley Dss practices in Farmington, NM. The NPI Number for Dr. Jack O. Smalley Dss is 1063989531 and holds a License No. (New Mexico).

The current practice location address for Dr. Jack O. Smalley Dss is 2650 E Pinon Frontage Rd Bldg 300, Farmington, NM and can be reached out via phone at 505-327-3331 and via fax at 505-327-0873.

Location: 2650 E Pinon Frontage Rd Bldg 300, Farmington, NM, 87402-5084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063989531
Provider Name
Dr. Jack O. Smalley Dss
Credential
Provider Entity Type
Organization
Address
2650 E Pinon Frontage Rd Bldg 300, Farmington, NM, 87402-5084
Phone Number
505-327-3331
Fax Number
505-327-0873
Provider Enumeration Date
11/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84279826 05 NM
institution
Provider Business Practice Location Address Details
Address
2650 E Pinon Frontage Rd Bldg 300
City
Farmington
State
New Mexico
Zip
87402-5084
Phone Number
505-327-3331
Fax Number
505-327-0873
person
Provider Business Mailing Address Details
Address
2650 E Pinon Frontage Rd Bldg 300
City
Farmington
State
New Mexico
Zip
87402-5084
Phone Number
505-327-3331
Fax Number
505-327-0873
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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