IndividualActive
Jeffery Wheaton, DDS MD
NPI 1104930288 · Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM
Provider details
- NPI number
- 1104930288
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS MD
- Sex
- Male
- Sole proprietor
- No
- License
- DDS 2052 (NM)
Specialties & taxonomies
Dental Providers
Practice location
1628 Alameda Blvd Nw
Albuquerque, NM 87114
Phone: (505) 899-6979
Fax: (505) 899-6980
Approximate (ZIP-level) locationGet directions
Mailing address
1628 Alameda Blvd Nw
Albuquerque, NM 87114
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.