Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

3501 North Butler Avenue Farmington Professional LLC

Organization General Practice Dentistry · NPI 1285252627

3501 North Butler Avenue Farmington Professional LLC provides General Practice Dentistry in Farmington, New Mexico. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3501 N Butler Ave Ste 104
Farmington, NM 87401-6430
Phone: (505) 564-4470
Fax: (505) 325-9707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1285252627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Grumbos — Practice Owner · (505) 564-4470
Other names Four Corners Family Dental
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address3501 N Butler Ave Ste 104, Farmington, NM 87401-6430

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