OrganizationActive
Animas Pediatric Dentistry
NPI 1619666732 · Pediatric Dentistry · Farmington, NM
Provider details
- NPI number
- 1619666732
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jens Wilson, Pediatric Dentist(435) 459-4457
Specialties & taxonomies
Dental Providers
Practice location
2650 E Pinon Frontage Rd Bldg 200
Farmington, NM 87402-5084
Phone: (505) 599-9359
Approximate (ZIP-level) locationGet directions
Mailing address
2650 E Pinon Frontage Rd Bldg 200
Farmington, NM 87402-5084
Registry dates
- Enumerated
- 2023-05-04
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.