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JEFFREY C WIGHT DDS PLLC NPI 1174241053


NPI Information

NPI: 1174241053
Provider Name: JEFFREY C WIGHT DDS PLLC
Classification: Dentist - 1223X2210X
Entity Type: Organization

Specialization: Orofacial Pain

Address:
4135 S POWER RD STE 101
MESA, AZ
ZIP 85212
Phone: (480) 588-2188
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JEFFREY C WIGHT DDS PLLC is an orofacial pain dentist in Mesa, AZ. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. JEFFREY C WIGHT DDS PLLC NPI is 1174241053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4135 S POWER RD STE 101
MESA, AZ
ZIP 85212-625
Phone: (480) 588-2188

The provider's authorized official is Jeffrey Wight .
The authorized official title is Owner-provider and has the following contact phone number (480) 588-2188.

The enumeration date for this NPI number is 8/17/2022 and was last updated on 8/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X2210XDentistOrofacial PainYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D07838OTHERARIZONALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.