San Juan Oral & Facial Surgery
NPI 1104228329 · Oral and Maxillofacial Surgery (Dentist) · Farmington, NM
San Juan Oral & Facial Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in Farmington, NM (NPI 1104228329).
Provider details
- NPI number
- 1104228329
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Beverly Bradford, Office Manager(505) 333-8635
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Frequently asked questions
- What is San Juan Oral & Facial Surgery's NPI number?
- San Juan Oral & Facial Surgery's National Provider Identifier (NPI) is 1104228329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Juan Oral & Facial Surgery?
- San Juan Oral & Facial Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is San Juan Oral & Facial Surgery located?
- San Juan Oral & Facial Surgery's practice location on file with NPPES is 2990 E Pinon Frontage Rd Ste 102, Farmington, NM 87402-5068.
- What is San Juan Oral & Facial Surgery's phone number?
- The practice phone number listed in the NPPES registry for San Juan Oral & Facial Surgery is (505) 333-8635.
- Who is the authorized official for San Juan Oral & Facial Surgery?
- The authorized official listed on San Juan Oral & Facial Surgery's NPPES record is Beverly Bradford, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Juan Oral & Facial Surgery's NPI active?
- Yes — San Juan Oral & Facial Surgery's NPI (1104228329) is active in the NPPES registry as of the last update on 2021-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.