Jon Dagley Wagner, MD DDS is an oral and maxillofacial surgery dentist in Albuquerque, NM. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jon Dagley Wagner, MD DDS NPI is 1154338101. 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:
10000 COORS BYP NW
SUITE G-218
ALBUQUERQUE, NM
ZIP 87114-040
Phone: (505) 242-4867
The NPI 1154338101 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 8/2/2006 and was last updated on 4/4/2013.