IndividualActive
Jeffrey Wagner, DDS
NPI 1174580120 · Dentist · Albuquerque, NM
Jeffrey Wagner, DDS is a Dentist provider in Albuquerque, NM (NPI 1174580120).
Provider details
- NPI number
- 1174580120
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1265 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Phone: (505) 256-2778
Street-level locationGet directions
Mailing address
7527 Jacobo Dr Ne
Albuquerque, NM 87109-6425
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jeffrey Wagner's NPI number?
- Jeffrey Wagner's National Provider Identifier (NPI) is 1174580120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Wagner's specialty?
- Jeffrey Wagner is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jeffrey Wagner located?
- Jeffrey Wagner's practice location on file with NPPES is 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153.
- What is Jeffrey Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Wagner is (505) 256-2778.
- Is Jeffrey Wagner's NPI active?
- Yes — Jeffrey Wagner's NPI (1174580120) is active in the NPPES registry as of the last update on 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.