Susan Elaine Wagner, DDS is a general practice dentist in Indianapolis, IN. 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. Susan Elaine Wagner, DDS NPI is 1417087982. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
8849 SHELBY ST
A-2
INDIANAPOLIS, IN
ZIP 46227-508
Phone: (317) 881-4000
Fax: (317) 888-1762
The NPI 1417087982 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 3/6/2007 and was last updated on 7/8/2007.