Search › New Mexico › 1223G0001X
Jack Smalley, D.D.S
NPI 1487611331 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2650 E Pinon Frontage Rd Bldg 300
Farmington, NM 87402 - Phone
- (505) 327-3331
- Fax
- (505) 327-0873
- 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
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-01
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