| Lloyd Brent Jackson Dmd Pallc | |
|
2700 Farmington Ave Suite C-1 Farminton NM 87401-4550 | |
| (505) 327-0044 | |
| (505) 325-0817 |
| Full Name | Lloyd Brent Jackson Dmd Pallc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 Farmington Ave, Farminton, New Mexico |
| Authorized Official Name and Position | Lloyd Brent Jackson (OWNER DENTIST) |
| Authorized Official Contact | 5053270044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd Brent Jackson Dmd Pallc 2700 Farmington Ave Suite C-1 Farminton NM 87401-4550 Ph: (505) 327-0044 | Lloyd Brent Jackson Dmd Pallc 2700 Farmington Ave Suite C-1 Farminton NM 87401-4550 Ph: (505) 327-0044 |
| NPI Number | 1336243476 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336243476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |