OrganizationActive
Simply Dental & Oral Surgery PC
NPI 1578969754 · Oral and Maxillofacial Surgery (Dentist) · Farmington, NM
Provider details
- NPI number
- 1578969754
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental 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
4760 N Butler Ave Ste B1
Farmington, NM 87401-0816
Phone: (505) 325-8858
Street-level locationGet directions
Mailing address
4760 N Butler Ave Ste B1
Farmington, NM 87401-0816
Registry dates
- Enumerated
- 2014-11-14
- Last updated
- 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.