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Contact Information

JOSHUA M CONNOLLY, DDS
6588 E MAIN ST
FARMINGTON, NM87402-5122
 Phone: 505-326-6800
 Fax: 505-326-5809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOSHUA M CONNOLLY · (Male)

NPI # 1972679975
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/28/2006
Last updated 01/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 53987
  • NM License # DD2877
  • TN License # 8897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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