Dr. Jeffery Bryan Wheaton
Oral and Maxillofacial Surgeon
1628 Alameda Blvd Nw
Albuquerque
, New Mexico 87114
Dr. Jeffery Bryan Wheaton
Oral and Maxillofacial Surgeon
1628 Alameda Blvd Nw
Albuquerque
, New Mexico 87114
(505) 899-6980
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffery Bryan Wheaton
- 1628 Alameda Blvd Nw
- Albuquerque, NM
- Zip : 87114
- Fax : (505) 899-6980
- Phone : (505) 899-6979
Second Address
- Dr. Jeffery Bryan Wheaton
- 1628 Alameda Blvd Nw
- Albuquerque, NM
- Zip : 87114
- Fax : (505) 899-6980
- Phone : (505) 899-6979
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DDS 2052 | NM |
National Provider Identifier
| NPI | 1104930288 |
|---|---|
| Provider Name | Dr. Jeffery Bryan Wheaton |
| First Address | Albuquerque, NM 87114 |
| Second Address | Albuquerque, NM 87114 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G5543 | (05) | NM |
| U83481 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.