SAN JUAN ORAL & FACIAL SURGERY


Address: 1700 N Butler Ave, Farmington, NM 87401-6331
Phone: 5053338635

SAN JUAN ORAL & FACIAL SURGERY (NPI# 1104228329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104228329
Entity Type Organization
Organization Name SAN JUAN ORAL & FACIAL SURGERY
Practice Address 1700 N Butler Ave
Farmington
NM 87401-6331
Practice Telephone 5053338635
Practice Fax Number 5052584909
Mailing Telephone 5053338635
Mailing Fax Number 5052584909
Enumeration Date 2014-09-18
Last Update Date 2014-09-18
Authorized Official Name DR. DAVID L CUNDICK (ORAL AND MAXILOFACIAL SURGEON)
Authorized Official Telephone 5053338635
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 1700 N BUTLER AVE
City FARMINGTON
State NM
Zip Code 87401-6331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073844221 Dr. Jack Smalley D.d.s. Dentist 1700 N Butler Ave, Farmington, NM 87401-6331 2010-01-27
1164737102 David Cundick Dentist 1700 N Butler Ave, Farmington, NM 87401-6331 2010-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035192 Jaylene Miller Behavior Technician 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 2020-08-28
1255940326 John Andrew Martinez Behavioral Analyst 211 N Auburn, Farmington, NM 87401 2020-07-24
1598304990 Chasitity Beulah Nez Behavior Technician 37 Rd 7101 #127, Farmington, NM 87401 2020-01-02
1205478575 Micah Magee Speech-Language Pathologist Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 2019-10-08
1831659754 Lelilah Todacheene Social Worker 1204 Camina Real, Farmington, NM 87401 2019-03-25
1306323555 Litany of Life Counselor 1010 Ridgeway Place, Farmington, NM 87401 2018-07-20
1093291213 Brittany Bigham Nurse Practitioner 1001 W Broadway Ste E, Farmington, NM 87401 2018-07-11
1528556305 Hairoun Home Health Home Health 1200 East 20th Street, Farmington, NM 87401 2018-04-26
1003338732 Silver Tongue Speech & Voice, LLC Clinic/Center 3001 Northridge Dr Ste C, Farmington, NM 87401 2017-07-14
1902256621 Capacity Builders Inc Taxi 418 W Broadway, Farmington, NM 87401 2016-06-14
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578969754 Simply Dental & Oral Surgery PC Dentist 4760 N Butler Ave Ste B1, Farmington, NM 87401-0816 2014-11-14
1881034262 Christy Lottinger Dentist 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 2013-06-28
1134396567 John J Mcneill Dentist 2401 E 30th St Bldg 2, Farmington, NM 87401-8986 2008-05-14
1841354438 Donald A. Rice Dentist 2566 Oakbriar Ln, Farmington, MO 63640-7135 2006-12-20
1801963939 Farmington Oral & Maxillofacial Surgical Clinic Dentist 20 Cr 6070, Farmington, NM 87401 2006-11-30
1922011378 John A Ellis Dentist 444 Wilton Rd, Farmington, ME 04938-6135 2006-08-15
1285651133 Connecticut Maxillofacial Surgeons, LLC Dentist 291 Farmington Ave, Farmington, CT 06032-1925 2006-07-16
1710972567 John Mcneill Dds PC Dentist 2401 E 30th St, Bldg 2, Farmington, NM 87401-8986 2005-09-19
1881183721 University Dentists Dentist 263 Farmington Ave, Farmington, CT 06030-0001 2018-05-07
1437447109 Farmington Oral & Facial Surgery P A Dentist 444 Wilton Rd, Farmington, ME 04938-6135 2011-07-15
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 87401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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