Jeffery Bryan Wheaton in Albuquerque - Oral And Maxillofacial Surgery
Jeffery Bryan Wheaton - NPI 1104930288
Jeffery Bryan Wheaton is a Oral And Maxillofacial Surgery in Albuquerque, New Mexico. Jeffery Bryan Wheaton practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jeffery Bryan Wheaton is 1104930288. The last update date is 2007-07-08.
Jeffery Bryan Wheaton's current location address is 1628 Alameda Blvd Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5058996979 and fax number 5058996980. The mailing address for Jeffery Bryan Wheaton is 1628 Alameda Blvd Nw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Bryan Wheaton |
|---|---|
| Address | 1628 Alameda Blvd Nw, Albuquerque, New Mexico |
| Phone Number | 5058996979 |
| Fax Number | 5058996980 |
| Sole Proprietor | N |
| Credentials | DDS MD |
NPI Number Detail
| NPI Number | 1104930288 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1628 Alameda Blvd Nw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 87114 |
| Phone Number | 5058996979 |
| Fax Number | 5058996980 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DDS 2052 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G5543 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffery Bryan Wheaton by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffery Bryan Wheaton has been assigned the NPI (National Provider Identifier) 1104930288. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jeffery Bryan Wheaton?
The Jeffery Bryan Wheaton is physically situated at 1628 Alameda Blvd Nw, in the city of Albuquerque, state of NM, with the postal code 87114.
What is Jeffery Bryan Wheaton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffery Bryan Wheaton's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Jeffery Bryan Wheaton receive the assignment of its 1104930288 from the Centers for Medicare & Medicaid Services?
The Jeffery Bryan Wheaton was issued its 1104930288 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information regarding Jeffery Bryan Wheaton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeffery Bryan Wheaton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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