Dr. Jeffrey Wade Humberson is a Santa Fe, New Mexico based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jeffrey Wade Humberson is DD2156 for Pediatric Dentistry in New Mexico. His current practice location is 490b W Zia Rd, Santa Fe. Patients can reach him at 505-428-7878.
Dr. Jeffrey Wade Humberson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Jeffrey Wade Humberson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jeffrey Wade Humberson
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
490b W Zia Rd, Santa Fe, New Mexico, 87505-7008
Phone:
505-428-7878
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1487642641
NPI Enumeration Date:
12 Oct, 2005
NPI Last Update On:
13 Feb, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeffrey Wade Humberson are as mentioned below.
License Number
Specialization
State
Status
DD2156
Pediatric Dentistry
New Mexico
Primary
DEN.00203125
Pediatric Dentistry
Colorado
Secondary
11810
Pediatric Dentistry
Maryland
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jeffrey Wade Humberson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000A9157
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
490b W Zia Rd, Santa Fe, New Mexico
Zip:
87505-7008
Phone Number:
505-428-7878
Patients can reach Dr. Jeffrey Wade Humberson at 490b W Zia Rd, Santa Fe, New Mexico or can call to book an appointment on 505-428-7878. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.