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Dr. Jeffrey Wade Humberson, DDS
Pediatric Dentist in Santa Fe, New Mexico
NPI 1487642641

Jeffrey Wade Humberson is a Pediatric Dentist based in Santa Fe, NM and is specialized in Pediatric Dentistry. Jeffrey Wade Humberson practices in Santa Fe, NM and has the professional credentials of DDS. The NPI Number for Jeffrey Wade Humberson is 1487642641 and holds a License No. DEN.00203125 (New Mexico).

The current practice location address for Jeffrey Wade Humberson is 490B W Zia Rd, Santa Fe, NM and can be reached out via phone at 505-428-7878. You can also correspond with Jeffrey Wade Humberson through the mailing address at 490B W ZIA RD, SANTA FE, NM - 87505-7008 (mailing address contact number: 505-428-7878).

Location: 490B W Zia Rd, Santa Fe, NM, 87505-7008
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Provider Profile Details
NPI Number
1487642641
Provider Name
Jeffrey Wade Humberson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
490B W Zia Rd, Santa Fe, NM, 87505-7008
Phone Number
505-428-7878
Fax Number
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000A9157 05 NM
institution
Provider Business Practice Location Address Details
Address
490B W Zia Rd
City
State
Zip
87505-7008
Phone Number
505-428-7878
Fax Number
person
Provider Business Mailing Address Details
Address
490B W Zia Rd
City
State
Zip
87505-7008
Phone Number
505-428-7878
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DEN.00203125 (Colorado)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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