Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK OWEN SMALLEY, D.D.S.
Active Sole ProprietorDR. JACK OWEN SMALLEY, D.D.S. is a General Dentistry healthcare provider located in FARMINGTON, New Mexico. NPI 1487611331 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FARMINGTON, NM
Registration Details
- NPI Number
- 1487611331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.260416732204 yrs)
- Last Updated
- Nov 1, 2018
- Licenses
-
DD1918 (NM)DD1918 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2650 E PINON FRONTAGE RD BLDG 300FARMINGTON, NM, 874025084Browse NM providers · Browse ZIP 87402
- Phone
- 5053273331
- Fax
- 5053270873
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| DR. JULIUS NICHOLAS MANZ | DDS | 1992701601 |
| DR. CANDICE ELLA CLARK | DDS | 1124018379 |
| DR. EDWARD E NEUBAUER | DDS | 1497745749 |
| PETER JOHN DEBUCK | DMD | 1013976232 |
| DR. WARREN KIRKLAND GRAHAM | DDS | 1912923566 |
| KENNETH JARED LUSK | D.D.S. | 1437164233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.