Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.