DAVID ALAN WAGNER D.D.S. NPI 1841539905

NPI Information

NPI: 1841539905
Provider Name: DAVID ALAN WAGNER, D.D.S.
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

PECOS Registration: Yes

Address:
500 N LEROY ST
FENTON, MI
ZIP 48430
Phone: (810) 629-8272
Get Directions

David Alan Wagner, D.D.S. is a prosthodontics dentist in Fenton, MI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. David Alan Wagner, D.D.S. NPI is 1841539905. 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:

500 N LEROY ST
FENTON, MI
ZIP 48430-734
Phone: (810) 629-8272
Fax: (810) 629-3218

The NPI 1841539905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/11/2013 and was last updated on 7/14/2015.

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
1	1223P0700X	Dentist	Prosthodontics	DS038617	PENNSYLVANIA	No
2	1223P0700X	Dentist	Prosthodontics	2901020879	MICHIGAN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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