San Juan Oral & Facial Surgery
Oral and Maxillofacial Dental Clinic
2990 E Pinon Frontage Rd Ste 102, Farmington
New Mexico, 87402-5068
505-333-8635 505-258-4909
Maps & DirectionsSan Juan Oral & Facial Surgery is a Oral and Maxillofacial Dental Clinic in Farmington, New Mexico. It is located at 2990 E Pinon Frontage Rd Ste 102, Farmington, NM and its contact number is 505-333-8635. The authorized person for San Juan Oral & Facial Surgery is Beverly K Bradford
who is Office Manager of the clinic and their contact number is 505-333-8635.
San Juan Oral & Facial Surgery Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
San Juan Oral & Facial Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | San Juan Oral & Facial Surgery |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 2990 E Pinon Frontage Rd Ste 102, Farmington,
New Mexico, 87402-5068 |
| Phone: | 505-333-8635 |
| Fax: | 505-258-4909 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Beverly K Bradford |
| Position: | Office Manager |
| Contact Number: | 505-333-8635 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for San Juan Oral & Facial Surgery clinic are as mentioned below.
| NPI Number: | 1104228329 |
| NPI Enumeration Date: | 18 Sep, 2014 |
| NPI Last Update On: | 03 Mar, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for San Juan Oral & Facial Surgery are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 27077748 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | San Juan Oral & Facial Surgery
2990 E Pinon Frontage Rd Ste 102,
Farmington, New Mexico |
| Zip: | 87402-5068 |
| Phone Number: | 505-333-8635 |
| Fax Number: | 505-258-4909 |
Patients can reach San Juan Oral & Facial Surgery at
2990 E Pinon Frontage Rd Ste 102, Farmington, New Mexico or can
call to book an appointment on 505-333-8635.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.