OrganizationActive
Dental Studio on 30th Street PC
NPI 1093111270 · General Practice Dentistry · Farmington, NM
Dental Studio on 30th Street PC is a General Practice Dentistry organization in Farmington, NM (NPI 1093111270).
Provider details
- NPI number
- 1093111270
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joseph Wilson, Owner(505) 360-9592
- License
- DD3399 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2401 E 30th St
Farmington, NM 87401-8939
Phone: (505) 325-8858
Street-level locationGet directions
Mailing address
2401 E 30th St
Farmington, NM 87401-8939
Registry dates
- Enumerated
- 2014-11-14
- Last updated
- 2014-11-14
Frequently asked questions
- What is Dental Studio on 30th Street PC's NPI number?
- Dental Studio on 30th Street PC's National Provider Identifier (NPI) is 1093111270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Studio on 30th Street PC?
- Dental Studio on 30th Street PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Studio on 30th Street PC located?
- Dental Studio on 30th Street PC's practice location on file with NPPES is 2401 E 30th St, Farmington, NM 87401-8939.
- What is Dental Studio on 30th Street PC's phone number?
- The practice phone number listed in the NPPES registry for Dental Studio on 30th Street PC is (505) 325-8858.
- Who is the authorized official for Dental Studio on 30th Street PC?
- The authorized official listed on Dental Studio on 30th Street PC's NPPES record is Joseph Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Studio on 30th Street PC's NPI active?
- Yes — Dental Studio on 30th Street PC's NPI (1093111270) is active in the NPPES registry as of the last update on 2014-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.