Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Shonota Collins

Individual provider Dentist · NPI 1528648045

Jacob Shonota Collins is a Dentist in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
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Practice location Address checks out

2525 E 30th St
Farmington, NM 87401-4503
Phone: (505) 327-4863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062584 (NM)

Record details

NPI number1528648045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021

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