MEDICARE: JAMES R COLE D.D.S.,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

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

Provider Business Mailing Address
First Line	:	1509 KNUDSEN AVE
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-2427
Country	:	US
Telephone Number	:	505-320-6230
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 E 30TH ST BLDG 1
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-8939
Country	:	US
Telephone Number	:	505-486-4290
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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