DR. JEFFERY BRYAN WHEATON


Address: 1628 Alameda Blvd Nw, Albuquerque, NM 87114
Phone: 5058996979

DR. JEFFERY BRYAN WHEATON (NPI# 1104930288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104930288
Entity Type Individual
Full Name DR. JEFFERY BRYAN WHEATON
Credential DDS MD
Practice Address 1628 Alameda Blvd Nw
Albuquerque
NM 87114
Practice Telephone 5058996979
Practice Fax Number 5058996980
Mailing Telephone 5058996979
Mailing Fax Number 5058996980
Enumeration Date 2006-08-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DDS 2052 NM Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM G5543 05

Office Location

Street Address 1628 ALAMEDA BLVD NW
City ALBUQUERQUE
State NM
Zip Code 87114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598268542 Kneeland Dental Care, LLC Dentist 1628 Alameda Blvd Nw, Albuquerque, NM 87114-8807 2018-03-16
1013169614 Westside Oral Surgery, PC Clinic/Center 1628 Alameda Blvd Nw, Albuquerque, NM 87114-8807 2008-10-15
1215143862 Christopher John Larmour Dentist 1628 Alameda Blvd Nw, Albuquerque, NM 87114-8807 2007-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891331773 Head To Toe Wellness, LLC Counselor 4619 Greene Ave, Suite D, Albuquerque, NM 87114 2019-11-26
1255896353 32 Degrees Genuine, LLC Counselor 10143 4th St Nw, Albuquerque, NM 87114 2019-02-04
1548789365 Maureen Chavez Occupational Therapist 10501 Golf Course, Albuquerque, NM 87114 2017-09-13
1982149043 Professional Case Coordination Services LLC Case Management 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 2016-12-28
1124494323 Geri Davis Nurse Practitioner 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 2015-08-11
1427432111 Marcia Nicole Cowen Nurse Practitioner 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 2015-07-13
1013315399 Amy Brown Counselor 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 2014-12-18
1851793392 Elaine Barbara Beckett Pharmacist 10224 Coors-by-pass Nw, Albuquerque, NM 87114 2014-09-16
1174924344 Sherrica Cressor Counselor 20 Pond Road, County Road 11, Cuba, NM 87114 2014-09-08
1427467513 Colleen Temkin Pharmacist 10224 Coors By Pass Nw, Albuquerque, NM 87114 2014-08-04
Find all providers in zip 87114

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629460951 Mark Conover Dentist 7050 Barstow St Ne, Albuquerque, NM 87111-1056 2015-02-24
1265671770 Sandia Oral Surgery and Dental Implant Center Dentist 7009 Montgomery Blvd. Ne, Albuquerque, NM 87109 2009-02-08
1598929242 West Mesa Oral and Maxillofacial Surgery PC Dentist 4801 Mcmahon Blvd Nw Ste 230, Albuquerque, NM 87114-5478 2008-07-11
1013179530 Joyce Ann Jeffries Dentist 9674 Eagle Ranch Rd Nw, Suite 1, Albuquerque, NM 87114-1580 2008-06-26
1457527368 Southwest Oral & Maxillofacial Surgery Dentist 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 2008-05-01
1447324280 David Eric Tuggle Dentist 7009 Montgomery Blvd Ne, Albuquerque, NM 87109 2006-11-20
1275613788 Timothy L Gutierrez Sr. Dentist 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 2006-10-17
1063470904 James D Crine II Dentist 4550 Eubank Ne Ste #103, Albuquerque, NM 87111 2006-05-02
1750359618 Lionel Michael Candelaria Dentist 6800 Montgomery Blvd Ne Ste A, Albuquerque, NM 87109-1425 2006-03-08
1346217775 John Compton Mitchell Dentist 6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405 2006-03-03
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87114

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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