Individual provider · Type 1 NPI

Jeffrey Paul Wagner, DDS

Dentist · Albuquerque, NM

NPI number 1174580120 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Mailing address

7527 Jacobo Dr NE
Albuquerque, NM 87109-6425

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1265 (NM)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1174580120

Jeffrey Paul Wagner, DDS's National Provider Identifier is 1174580120, issued on Apr 26, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.