Dr. Jack Owen Smalley
D.D.S. | Dentist
2650 E Pinon Frontage Rd Bldg 300, Farmington
New Mexico, 87402-5084
505-327-3331 505-327-0873
Maps & DirectionsDr. Jack Owen Smalley is a Farmington, New Mexico based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack Owen Smalley is
DD1918 for General Practice Dentistry in New Mexico. His current practice location is
2650 E Pinon Frontage Rd Bldg 300, Farmington. Patients can reach him at
505-327-3331.
Dr. Jack Owen Smalley is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jack Owen Smalley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jack Owen Smalley |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2650 E Pinon Frontage Rd Bldg 300, Farmington, New Mexico, 87402-5084 |
| Phone: | 505-327-3331 |
| Fax: | 505-327-0873 |
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 are as mentioned below.
| NPI Number: | 1487611331 |
| NPI Enumeration Date: | 26 Apr, 2006 |
| NPI Last Update On: | 01 Nov, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Owen Smalley are as mentioned below.
| License Number | Specialization | State | Status | |
| DD1918 | General Practice Dentistry | New Mexico | Primary | |
| DD1918 | Dentistry | New Mexico | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack Owen Smalley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 84279826 | Medicaid | New Mexico | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2650 E Pinon Frontage Rd Bldg 300, Farmington, New Mexico |
| Zip: | 87402-5084 |
| Phone Number: | 505-327-3331 |
| Fax Number: | 505-327-0873 |
Patients can reach Dr. Jack Owen Smalley at
2650 E Pinon Frontage Rd Bldg 300, Farmington, New Mexico or can
call to book an appointment on 505-327-3331.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.