Individual provider · Type 1 NPI
Jens Wilson, DMD
Pediatric Dentistry · Farmington, NM
NPI number
1568089076
Active
Practice location
2650 E Pinon Frontage Rd Bldg 200
Farmington, NM 87402-5084
Mailing address
4760 N Butler Ave Ste C
Farmington, NM 87401-0816
Other practice locations
- 4760 N Butler Ave Ste C, Farmington, NM 87401-0816 · (505) 535-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | LL-541-20 (NV) |
| Pediatric Dentistry Primary | 1223P0221X | DD5597 (NM) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Farmington
About NPI 1568089076
Jens Wilson, DMD's National Provider Identifier is 1568089076, issued on Jun 30, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Farmington, NM. The record was last updated on Oct 2, 2023.