Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY PAUL WAGNER, DDS
ActiveDR. JEFFREY PAUL WAGNER, DDS is a Dentist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1174580120 is currently active in the NPPES registry. Verify at CMS.
Dentist · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1174580120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.284619669937 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1265 (NM)
Practice Information
- Address
-
1501 SAN PEDRO DR SEALBUQUERQUE, NM, 871085153Browse NM providers · Browse ZIP 87108
- Phone
- 5052562778
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| JONATHAN Y CHIANG | DDS | 1598768129 |
| DR. PAUL MARTIN CLIFFORD | DDS | 1134124126 |
| DR. ALICIA ANN ABEYTA | DDS | 1942298047 |
| DR. CLIFFORD FREIDLINE | DDS | 1154310928 |
| CHARLES E TILSON | DMD | 1619966314 |
| BRENTON MATTHEW MASON | DMD | 1336138031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.