Wheaton, Jeffery Bryan
Wheaton, Jeffery Bryan is an individual health care provider with primary practice located at 1628 Alameda Blvd Nw , Albuquerque NM 87114. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wheaton, Jeffery Bryan can be contacted via phone (505) 899-6979.Contact Information
Primary practice address
1628 Alameda Blvd Nw
Albuquerque NM 87114
Phone: (505) 899-6979
Fax: (505) 899-6980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS 2052 | New Mexico |
Profile Details
| NPI number | 1104930288 |
|---|---|
| LBN Legal business name | Wheaton, Jeffery Bryan |
| Credentials | DDS MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104930288 | NPPES |
| New Mexico | MEDICAID | G5543 |
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