Individual
JENS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2650 E PINON FRONTAGE RD BLDG 200, FARMINGTON, NM 87402-5084
(505) 599-9359
Mailing address
4760 N BUTLER AVE STE C, FARMINGTON, NM 87401-0816
(435) 459-4457
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD5597
NM
1223P0221X
Pediatric Dentistry
LL-541-20
NV
Other
Enumeration date
06/30/2020
Last updated
10/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us