IndividualActive
Jeffrey Humberson, D.D.S.
NPI 1487642641 · Pediatric Dentistry · Santa Fe, NM
Provider details
- NPI number
- 1487642641
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DEN.00203125 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
490b W Zia Rd
Santa Fe, NM 87505-7008
Phone: (505) 428-7878
Approximate (ZIP-level) locationGet directions
Mailing address
490b W Zia Rd
Santa Fe, NM 87505-7008
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2019-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.