Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS JOSEPH WAGNER, DDS
ActiveDR. NICHOLAS JOSEPH WAGNER, DDS is a Dentist healthcare provider located in BOONVILLE, Indiana. NPI 1023338480 is currently active in the NPPES registry. Verify at CMS.
Dentist · BOONVILLE, IN
Registration Details
- NPI Number
- 1023338480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2010 (16.172194230182 yrs)
- Last Updated
- Jan 23, 2020
- License
-
12011465A (IN)
Practice Information
- Address
-
800 OFFICE PARK DRBOONVILLE, IN, 476018601Browse IN providers · Browse ZIP 47601
- Phone
- 8128974889
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BOONVILLE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY P KOLB | DDS | 1790889046 |
| DR. PHILLIP W KOLB | DDS | 1699879957 |
| MR. JAMES E EASH | DDS | 1073687877 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.