Dr Jeffrey Wade Humberson, DDS - Dentist in Santa Fe, NM

Dr Jeffrey Wade Humberson, DDS is a Dentist - Pediatric Dentistry based in Santa Fe, New Mexico. Dr Jeffrey Wade Humberson is licensed to practice in New Mexico (license number DD2156) and his current practice location is 490b W Zia Rd, Santa Fe, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 428-7878.

NPI number for Dr Jeffrey Wade Humberson is 1487642641 and his current mailing address is 490b W Zia Rd, Santa Fe, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487642641.

Contact Information

Dr Jeffrey Wade Humberson, DDS
490b W Zia Rd,
Santa Fe, NM 87505-7008
(505) 428-7878
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeffrey Wade Humberson
GenderMale
SpecialityDentist - Pediatric Dentistry
Location490b W Zia Rd, Santa Fe, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487642641
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 02/13/2019

Medical Identifiers

Medical identifiers for Dr Jeffrey Wade Humberson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487642641NPI-NPPES
000A9157MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry DEN.00203125 (Colorado)Secondary
1223P0221XDentist - Pediatric Dentistry 11810 (Maryland)Secondary
1223P0221XDentist - Pediatric Dentistry DD2156 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Wade Humberson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jeffrey Wade Humberson, DDS
490b W Zia Rd,
Santa Fe, NM 87505-7008

Ph: (505) 428-7878
Dr Jeffrey Wade Humberson, DDS
490b W Zia Rd,
Santa Fe, NM 87505-7008

Ph: (505) 428-7878

Reviews and Comments


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