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DR. JACK O. SMALLEY DSS
NPI 1063989531
Dentist - General Practice in Farmington, NM

Active since November 01, 2018
2650 E PINON FRONTAGE RD BLDG 300, FARMINGTON, NM 87402(505) 327-3331(505) 327-0873 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack O. Smalley Dss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK O. SMALLEY DSS (NPI 1063989531) is a healthcare organization registered as a general practice in Farmington, New Mexico and active in the NPI registry since November 2018. The organization lists Deanza D Sona, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063989531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. JACK O. SMALLEY DSS
Location Address2650 E PINON FRONTAGE RD BLDG 300Farmington, NM 87402-5084
Mailing Address2650 E Pinon Frontage Rd Bldg 300Farmington, NM 87402-5084 · (505) 327-3331 · Fax (505) 327-0873
Phone(505) 327-3331
Fax(505) 327-0873
Organization SubpartNo
Authorized OfficialDeanza D SonaOffice Manager · (505) 327-3331
Enumeration DateNovember 1, 2018
✔ NPI 1063989531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2650 E PINON FRONTAGE RD BLDG 300, Farmington, NM 87402
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Other Identifiers 1

Medicaid84279826NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACK OWEN SMALLEY D.D.S.
Dentist (General Practice)
2650 E PINON FRONTAGE RD BLDG 300
FARMINGTON, NM 87402
San Juan County (505) 327-3331
JARED REESE FOUTZ DMD
Dentist
2650 E PINON FRONTAGE RD BLDG 300
FARMINGTON, NM 87402
San Juan County (505) 327-3331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Jack O. Smalley Dss's NPI number?

The NPI number for Dr. Jack O. Smalley Dss is 1063989531. It was assigned to this organization in the NPPES registry on November 1, 2018.

Where is Dr. Jack O. Smalley Dss located?

Dr. Jack O. Smalley Dss is located at 2650 E Pinon Frontage Rd Bldg 300, Farmington, NM 87402. The listed phone number is (505) 327-3331.

What is Dr. Jack O. Smalley Dss's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Jack O. Smalley Dss was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.