San Juan Oral & Facial Surgery

Oral surgery practice in Farmington, NM

Registered specialist

Call (505) 333-8635 Send a message Map ↗

Public-record details

Address: 2990 E Pinon Frontage Rd Ste 102, Farmington, NM 87402
Phone: (505) 333-8635
Listed under: Oral & maxillofacial surgeons, Specialty practices
NPI: 1104228329
NPI status: Active in the NPPES registry
Provider type: Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy): Oral and Maxillofacial Surgery (1223S0112X)
Authorized official: Beverly Bradford, DDS, Office Manager
NPI first issued: Sep 18, 2014
NPI record last updated: Mar 3, 2021

NPI 1104228329 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1104228329 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

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