Wagner, Jeffrey Paul
Wagner, Jeffrey Paul is an individual health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wagner, Jeffrey Paul can be contacted via phone (505) 256-2778.Contact Information
Primary practice address
1501 San Pedro Dr Se
Albuquerque NM 87108-5153
Phone: (505) 256-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1265 | New Mexico |
Profile Details
| NPI number | 1174580120 |
|---|---|
| LBN Legal business name | Wagner, Jeffrey Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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