DR. Jeffrey J Supple, DMD
NPI #1073609020 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1073609020
- Entity Type
- Individual
- Name
- DR. Jeffrey J Supple, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6800 MONTGOMERY BLVD NE
- Address 2
- SUITE G
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87109-1405
- Phone
- (505) 883-3933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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