Healthcare Provider Details

I. General information

NPI: 1861327553
Provider Name (Legal Business Name): JAMES R COLE D.D.S.,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E 30TH ST BLDG 1
FARMINGTON NM
87401-8939
US

IV. Provider business mailing address

1509 KNUDSEN AVE
FARMINGTON NM
87401-2427
US

V. Phone/Fax

Practice location:
  • Phone: 505-486-4290
  • Fax:
Mailing address:
  • Phone: 505-320-6230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBYN DAME-COLE OR ROBYN COLE
Title or Position: PRACTICE DIRECTOR/CFO/SEC/TREA
Credential: BSDH, ALT
Phone: 505-320-6230