SCOTT WILLIAM WAGNER DDS NPI 1902909005

NPI Information

  • NPI: 1902909005
  • Provider Name: SCOTT WILLIAM WAGNER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 9035 EAST 62ND STREET SOUTH
    TULSA, OK
    ZIP 74133
  • Phone: (918) 622-3915

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NPI Details

Scott William Wagner, DDS is a general practice dentist in Tulsa, OK. 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. Scott William Wagner, DDS NPI is 1902909005. 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:

9035 EAST 62ND STREET SOUTH
TULSA, OK
ZIP 74133
Phone: (918) 622-3915
Fax: (918) 662-3922

The enumeration date for this NPI number is 9/6/2006 and was last updated on 6/5/2014.

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
11223G0001XDentistGeneral Practice5335OKLAHOMAYes

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
1974869MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA

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: 11/21/2025

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