Individual provider · Type 1 NPI

Jeffrey J. Supple, DMD

General Practice Dentistry · Albuquerque, NM

NPI number 1073609020 Active

Practice location

6800 Montgomery Blvd NE, Suite G
Albuquerque, NM 87109-1405

Call (505) 883-3933 Map

Fax (505) 883-3934

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDD1731 (NM)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073609020

Jeffrey J. Supple, DMD's National Provider Identifier is 1073609020, issued on Oct 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.