Search › New Mexico › 1223P0221X
Jens Wilson, DMD
NPI 1568089076 · on the registry since 2020
Practice
- Address
- 2650 E Pinon Frontage Rd Bldg 200
Farmington, NM 87402 - Phone
- (505) 599-9359
- Organisation at this address
- Dr. Jack O. Smalley Dss
Animas Pediatric Dentistry
Animas Pediatric Dental Group
Ncdi - Animas Professional, LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 4760 N Butler Ave Ste C, Farmington, NM
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
- Licence states on file
- NV, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico