| James R Cole D.d.s.,pc | |
|
2401 E 30th St Bldg 1 Farmington NM 87401-8939 | |
| (505) 327-0441 | |
| (505) 324-9473 |
| Full Name | James R Cole D.d.s.,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2401 E 30th St Bldg 1, Farmington, New Mexico |
| Authorized Official Name and Position | James R Cole (OWNER) |
| Authorized Official Contact | 5053206230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Cole D.d.s.,pc 2401 E 30th St Bldg 1 Farmington NM 87401-8939 Ph: (505) 327-0441 | James R Cole D.d.s.,pc 2401 E 30th St Bldg 1 Farmington NM 87401-8939 Ph: (505) 327-0441 |
| NPI Number | 1124623509 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124623509 | NPI | - | NPPES |
| 86781 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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