Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dental Studio on 30th Street PC

Organization General Practice Dentistry · NPI 1093111270

Dental Studio on 30th Street PC is a General Practice Dentistry in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 E 30th St
Farmington, NM 87401-8939
Phone: (505) 325-8858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD3399 (NM)

Record details

NPI number1093111270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wilson — Owner · (505) 360-9592
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014
Mailing address2401 E 30th St, Farmington, NM 87401-8939

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