Individual provider · Type 1 NPI

Jeffrey Wade Humberson, DDS

Pediatric Dentistry · Santa Fe, NM

NPI number 1487642641 Active

Practice location

490B W Zia Rd
Santa Fe, NM 87505-7008

Call (505) 428-7878 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDEN.00203125 (CO)
Pediatric Dentistry 1223P0221X11810 (MD)
Pediatric Dentistry Primary 1223P0221XDD2156 (NM)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

9 other providers at this address

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About NPI 1487642641

Jeffrey Wade Humberson, DDS's National Provider Identifier is 1487642641, issued on Oct 12, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Santa Fe, NM. The record was last updated on Feb 13, 2019.