Individual provider · Type 1 NPI

Jeffery Bryan Wheaton, DDS MD

Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM

NPI number 1104930288 Active

Practice location

1628 Alameda Blvd NW
Albuquerque, NM 87114

Call (505) 899-6979 Map

Fax (505) 899-6980

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDDS 2052 (NM)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1104930288

Jeffery Bryan Wheaton, DDS MD's National Provider Identifier is 1104930288, issued on Aug 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.