# DR. JEFFREY CRAIG WIGHT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043541907
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7838 | AZ | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D07838 | AZ | — |
| 1223X2210X | Orofacial Pain Dentistry | D07838 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | D07838 | AZ | — |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 06/10/2024