Dr Jeffrey J Supple, DMD - Dentist in Albuquerque, NM

Dr Jeffrey J Supple, DMD is a Dentist - General Practice based in Albuquerque, New Mexico. Dr Jeffrey J Supple is licensed to practice in New Mexico (license number DD1731) and his current practice location is 6800 Montgomery Blvd Ne, Suite G, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 883-3933.

NPI number for Dr Jeffrey J Supple is 1073609020 and his current mailing address is 6800 Montgomery Blvd Ne, Suite G, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073609020.

Contact Information

Dr Jeffrey J Supple, DMD
6800 Montgomery Blvd Ne, Suite G,
Albuquerque, NM 87109-1405
(505) 883-3933
(505) 883-3934



Healthcare Provider's Profile

Full NameDr Jeffrey J Supple
GenderMale
SpecialityDentist - General Practice
Location6800 Montgomery Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073609020
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jeffrey J Supple such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073609020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DD1731 (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 J Supple 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 J Supple, DMD
6800 Montgomery Blvd Ne, Suite G,
Albuquerque, NM 87109-1405

Ph: (505) 883-3933
Dr Jeffrey J Supple, DMD
6800 Montgomery Blvd Ne, Suite G,
Albuquerque, NM 87109-1405

Ph: (505) 883-3933

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Dentist in Albuquerque, NM

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Phone: 505-348-0087    Fax: 505-796-5155

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