Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENS WILSON, DMD
ActiveJENS WILSON, DMD is a Pediatric Dentistry healthcare provider located in FARMINGTON, New Mexico. NPI 1568089076 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FARMINGTON, NM
Registration Details
- NPI Number
- 1568089076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2020 (6.0879440309913 yrs)
- Last Updated
- Oct 2, 2023
- Licenses
-
LL-541-20 (NV)DD5597 (NM)
Practice Information
- Address
-
2650 E PINON FRONTAGE RD BLDG 200FARMINGTON, NM, 874025084Browse NM providers · Browse ZIP 87402
- Phone
- 5055999359
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| DR. DOUG EARL HOLMES | D.D.S., M.S. | 1841250529 |
| DR. LAWRENCE ERIC SUAZO | D.D.S. | 1760443998 |
| DR. KENNETH R DUNSTON | DDS, MSD, PC | 1477515104 |
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.