Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey Paul Wagner, DDS

Individual provider Dentist · NPI 1174580120

Dr. Jeffrey Paul Wagner, DDS is a Dentist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone: (505) 256-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1265 (NM)

Record details

NPI number1174580120
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 8, 2007

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