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DR. JACK OWEN SMALLEY D.D.S.
NPI 1487611331
Dentist - General Practice in Farmington, NM

Active since April 26, 2006
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.

Record update history: Nov 1, 2018, Oct 24, 2018 (2 updates tracked since 2018).

About Dr. Jack Owen Smalley D.d.s. NPPES

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

DR. JACK OWEN SMALLEY D.D.S. (NPI 1487611331) is an individual general practice provider in Farmington, New Mexico, licensed in New Mexico (DD1918) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1487611331
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK OWEN SMALLEYCredential: D.D.S.
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
Sole ProprietorYes
Enumeration DateApril 26, 2006
Last NPPES UpdateNovember 1, 20182 updates tracked since enumeration
✔ NPI 1487611331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD1918
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.
Also ListedDentistTaxonomy 122300000X · License DD1918 (NM)
2650 E PINON FRONTAGE RD BLDG 300, Farmington, NM 87402
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 O. SMALLEY DSS
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 Jack Smalley's NPI number?

The NPI number for Jack Smalley is 1487611331. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jack Smalley located?

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

What is Jack Smalley's specialty?

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

What insurance does Jack Smalley accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jack Smalley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Smalley 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.