DR. JONATHAN MUNGER DICKSON (NPI# 1629398425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629398425 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MUNGER DICKSON |
| Credential | DMD |
| Practice Address |
6588 E Main St Farmington NM 87402-5122 |
| Mailing Address |
3901 N Dustin Ave Farmington NM 87401-9209 |
| Practice Telephone | 5053266800 |
| Mailing Telephone | 2532308084 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD3293 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487110474 | Jonathan David Dickson | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2019-02-14 |
| 1063430619 | Jonathan L Dickson | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| Street Address |
6588 E MAIN ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407960958 | James Golden Durfey | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2006-08-19 |
| 1154934818 | 6588 East Main Farmington LLC | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2020-08-24 |
| 1861047490 | Matthew Catuna | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2019-08-09 |
| 1710463799 | Christopher Ozzie Rodas | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2018-07-12 |
| 1811410129 | Michael Mckay Butler | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2017-07-18 |
| 1891102752 | Nicholas Richard Withem | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2014-07-11 |
| 1568892610 | Joseph Chase Heap | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2013-11-26 |
| 1639490451 | Michael Damian King | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2010-06-16 |
| 1285869792 | Theron Reed Burk | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2009-05-28 |
| 1578721718 | Aaron D Rasmussen | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416977 | Alexander Michael Shore | Dentist | 33153 Maplenut St, Farmington, MI 48336-4438 | 2019-06-17 |
| 1629596705 | Dds Catalyst Farmington, LLC | Dentist | 3501 N Butler Ave Ste 104, Farmington, NM 87401-6430 | 2017-09-08 |
| 1750802997 | Ryan Michael Holbrook | Dentist | 640 W Karsch Blvd, Farmington, MO 63640-3342 | 2017-06-28 |
| 1770939613 | Modern Dental Professionals, Mn PC | Dentist | 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024-8207 | 2016-05-10 |
| 1508232992 | Christopher Nicholaus Roclevitch | Dentist | 3030 E Main St, T-1, Farmington, NM 87402-7636 | 2015-08-19 |
| 1003200569 | Pure Dental PC | Dentist | 2 Forest Park Dr Ste 1, Farmington, CT 06032-1446 | 2015-03-23 |
| 1417346016 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 520 W. Pine Street, Farmington, MO 63640-1426 | 2015-01-20 |
| 1487913869 | Modern Dental Professionals Utah, PC | Dentist | 280 N Union Ave, #l110, Farmington, UT 84025 | 2012-05-07 |
| 1427320654 | Summit Family Dental of Farmington, LLC | Dentist | 800 E 30th St Bldg 3, Farmington, NM 87401-9407 | 2012-02-03 |
| 1851679393 | Peter Urling | Dentist | 19 S. Franklin St., Farmington, MO 63640 | 2011-08-02 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.