DR. Robert Frederick Wagner, D.M.D. is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Robert Frederick Wagner, D.M.D. NPI is 1164599700. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2803 NE EVERETT ST
PORTLAND, OR
ZIP 97232-246
Phone: (503) 239-5115
Fax: (503) 231-6480
The NPI 1164599700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.