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Jens Wilson, DMD — NPI 1568089076, Farmington, NM | NPI Central

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NPI 1568089076

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Jens Wilson, DMD

NPI 1568089076 · Pediatric Dentistry · Farmington, NM

Provider details

NPI number: 1568089076
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: LL-541-20 (NV)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense DD5597 (NM)
Dental Providers
Pediatric Dentistry1223P0221XLicense LL-541-20 (NV)
Dental Providers

Practice location

2650 E Pinon Frontage Rd Bldg 200

Farmington, NM 87402-5084

Phone: (505) 599-9359

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

4760 N Butler Ave Ste C

Farmington, NM 87401-0816

Additional practice locations (1)

4760 N Butler Ave Ste C
Farmington, NM 87401-0816
Phone: (505) 535-3044
Fax: (505) 325-2532

Registry dates

Enumerated: 2020-06-30
Last updated: 2023-10-02
Certified: 2023-10-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.