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ANIMAS PEDIATRIC DENTISTRY
NPI 1619666732
Dentist - Pediatric Dentistry in Farmington, NM

Active since May 04, 2023
2650 E PINON FRONTAGE RD BLDG 200, FARMINGTON, NM 87402(505) 599-9359 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, May 4, 2023 (2 updates tracked since 2023).

About Animas Pediatric Dentistry NPPES

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

ANIMAS PEDIATRIC DENTISTRY (NPI 1619666732) is a healthcare organization registered as a pediatric dentistry in Farmington, New Mexico and active in the NPI registry since May 2023. The organization lists Jens Wilson, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1619666732
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameANIMAS PEDIATRIC DENTISTRY
Location Address2650 E PINON FRONTAGE RD BLDG 200Farmington, NM 87402-5084
Mailing Address2650 E Pinon Frontage Rd Bldg 200Farmington, NM 87402-5084 · (505) 599-9359
Phone(505) 599-9359
Organization SubpartNo
Authorized OfficialJens WilsonPediatric Dentist · (435) 459-4457
Enumeration DateMay 4, 2023
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1619666732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
2650 E PINON FRONTAGE RD BLDG 200, Farmington, NM 87402
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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

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

JENS WILSON DMD
Dentist (Pediatric Dentistry)
2650 E PINON FRONTAGE RD BLDG 200
FARMINGTON, NM 87402
San Juan County (505) 599-9359

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 Animas Pediatric Dentistry's NPI number?

The NPI number for Animas Pediatric Dentistry is 1619666732. It was assigned to this organization in the NPPES registry on May 4, 2023.

Where is Animas Pediatric Dentistry located?

Animas Pediatric Dentistry is located at 2650 E Pinon Frontage Rd Bldg 200, Farmington, NM 87402. The listed phone number is (505) 599-9359.

What is Animas Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Animas Pediatric Dentistry was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.