person
Jens Wilson, DMD
Pediatric Dentist in Farmington, New Mexico
NPI 1568089076

Jens Wilson is a Pediatric Dentist based in Farmington, NM and is specialized in Pediatric Dentistry. Jens Wilson practices in Farmington, NM and has the professional credentials of DMD. The NPI Number for Jens Wilson is 1568089076 and holds a License No. LL-541-20 (New Mexico).

The current practice location address for Jens Wilson is 2650 E Pinon Frontage Rd Bldg 200, Farmington, NM and can be reached out via phone at 505-599-9359.

Location: 2650 E Pinon Frontage Rd Bldg 200, Farmington, NM, 87401-0816
person
Provider Profile Details
NPI Number
1568089076
Provider Name
Jens Wilson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2650 E Pinon Frontage Rd Bldg 200, Farmington, NM, 87401-0816
Phone Number
505-599-9359
Fax Number
Provider Enumeration Date
06/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2650 E Pinon Frontage Rd Bldg 200
City
State
Zip
87402-5084
Phone Number
505-599-9359
Fax Number
person
Provider Business Mailing Address Details
Address
2650 E Pinon Frontage Rd Bldg 200
City
State
Zip
87402-5084
Phone Number
505-599-9359
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
LL-541-20 (Nevada)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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