DR. JACK SMALLEY, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1487611331
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | DD1918 (NM) |
| Dentist - General Practice | 1223G0001X | Yes | DD1918 (NM) |
Frequently Asked Questions
NPI 1487611331 is the National Provider Identifier for DR. JACK SMALLEY, D.D.S., a Dentist - General Practice provider located in Farmington, NM. This NPI was enumerated on April 26, 2006.
DR. JACK SMALLEY, D.D.S. practices at 2650 E PINON FRONTAGE RD BLDG 300, Farmington, NM 87402.
Quick Facts
- NPI
- 1487611331
- Type
- Individual
- Enumerated
- Apr 26, 2006
- Last Updated
- Nov 1, 2018
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