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IRVING H. WAGMAN DDS PC NPI 1972717569


NPI Information

NPI: 1972717569
Provider Name: IRVING H. WAGMAN DDS PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3541 W BRADDOCK RD
SUITE 202
ALEXANDRIA, VA
ZIP 22302
Phone: (703) 379-6187
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IRVING H. WAGMAN DDS PC is a general practice dentist in Alexandria, VA. 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. IRVING H. WAGMAN DDS PC NPI is 1972717569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3541 W BRADDOCK RD
SUITE 202
ALEXANDRIA, VA
ZIP 22302-915
Phone: (703) 379-6187
Fax: (703) 379-8656

The provider's authorized official is Jeffrey David Wagman .
The authorized official title is Owner and has the following contact phone number (703) 379-6187.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401008271VIRGINIAYes

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

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