DR. JEFFREY PAUL WAGNER DDS
NPI 1174580120
Dentist in Albuquerque, NM

Active since April 26, 2006
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 256-2778 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeffrey Paul Wagner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY PAUL WAGNER DDS (NPI 1174580120) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (1265) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1174580120
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY PAUL WAGNERCredential: DDS
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address7527 Jacobo Dr NeAlbuquerque, NM 87109-6425 · (505) 821-4415
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174580120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NM · 1265
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1501 SAN PEDRO DR SE, Albuquerque, NM 87108

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist (Pharmacotherapy)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist (Pharmacotherapy)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist (Pharmacotherapy)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174580120, enumerated as an "individual" on April 26, 2006.

The provider is located at 1501 SAN PEDRO DR SE ALBUQUERQUE, NM 87108 and the phone number is (505) 256-2778.

Dentist with taxonomy code 122300000X.