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SAN JUAN COLLEGE
NPI 1679740013
Clinic/Center - Dental in Farmington, NM

Active since May 14, 2008
4601 COLLEGE BLVD, DENTAL CLINIC, FARMINGTON, NM 87402(505) 566-3126(505) 566-3790 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Juan College NPPES

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

SAN JUAN COLLEGE (NPI 1679740013) is a healthcare organization registered as a dental in Farmington, New Mexico and active in the NPI registry since May 2008. The organization lists Carol Spencer, President, as its authorized official.

NPPES Registry Identity

NPI1679740013
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSAN JUAN COLLEGE
Location Address4601 COLLEGE BLVD, DENTAL CLINICFarmington, NM 87402-4609
Mailing Address4601 College BlvdFarmington, NM 87402-4609 · (505) 566-3126 · Fax (505) 566-3790
Phone(505) 566-3126
Fax(505) 566-3790
Organization SubpartNo
Authorized OfficialCarol SpencerPresident · (505) 566-3209
Enumeration DateMay 14, 2008
✔ NPI 1679740013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NM · DD-2461
4601 COLLEGE BLVD, Farmington, NM 87402
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Other Identifiers 1

Medicaid59457538NM

Other Providers at the Same Location NPPES 6

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

NICOLE K DEHERRERA LISW
Social Worker (Clinical)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-3846
SAN JUAN COLLEGE
Clinic/Center (Health Service)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-4255
CHARISSE BUCHANAN AG-NP-C
Nurse Practitioner (Adult Health)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-4255
SAN JUAN COLLEGE
Community/Behavioral Health
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-3846
TERESA L BIGELOW SPTA
Physical Therapy Assistant
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-3198
DR. JULIUS NICHOLAS MANZ DDS
Dentist (General Practice)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 325-4475

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 San Juan College's NPI number?

The NPI number for San Juan College is 1679740013. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is San Juan College located?

San Juan College is located at 4601 College Blvd Dental Clinic, Farmington, NM 87402. The listed phone number is (505) 566-3126.

What is San Juan College's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for San Juan College was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.