San Juan College is a Dental in Farmington, New Mexico. San Juan College practices all healthcare services and medical treatments related to Dental. The NPI Number for San Juan College is 1679740013. The last update date is 2008-05-14.
San Juan College's current location address is 4601 College Blvd, Farmington, New Mexico. You can contact this provider via phone number 5055663126 and fax number 5055663790. The mailing address for San Juan College is 4601 College Blvd, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Juan College |
|---|---|
| Address | 4601 College Blvd, Farmington, New Mexico |
| Phone Number | 5055663126 |
| Fax Number | 5055663790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Spencer Carol |
| Telephone Number | 5055663209 |
NPI Number Detail
| NPI Number | 1679740013 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 4601 College Blvd |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874024609 |
| Phone Number | 5055663126 |
| Fax Number | 5055663790 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | DD-2461 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59457538 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to San Juan College by the Centers for Medicare & Medicaid Services?
The San Juan College has been issued the NPI (National Provider Identifier) 1679740013 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the San Juan College's physical address?
The San Juan College is physically located at 4601 College Blvd, in the city of Farmington, NM, with the postal code 874024609.
What is San Juan College's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for San Juan College is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
When was the San Juan College's 1679740013 issued?
The San Juan College's 1679740013 was issued on 2008-05-14.
As of what date was the information pertaining to San Juan College, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to San Juan College, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-14.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA