Individual
DR. JEFFREY CRAIG WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4135 S POWER RD STE 101, MESA, AZ 85212-3625
(480) 588-2188
(480) 588-2116
Mailing address
4135 S POWER RD STE 101, MESA, AZ 85212-3625
(480) 588-2188
(602) 992-6604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7838
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D07838
AZ
1223X2210X
Orofacial Pain Dentistry
Primary
D07838
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
D07838
AZ
Other
Enumeration date
01/15/2010
Last updated
06/10/2024
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