Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON DAGLEY WAGNER, MD DDS
ActiveJON DAGLEY WAGNER, MD DDS is a Oral & Maxillofacial Surgery healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1154338101 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1154338101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.009163023004 yrs)
- Last Updated
- Apr 4, 2013
- Licenses
-
95-367 (TX)DD3842 (NM)28634 (TX)055441-1 (NY)
Practice Information
- Address
-
10000 COORS BYP NWSUITE G-218ALBUQUERQUE, NM, 871144040Browse NM providers · Browse ZIP 87114
- Phone
- 5052424867
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN H CHRISTIANSEN | DDS | 1679567242 |
| STEVEN ROHOLT | DDS | 1174512297 |
| DR. JERRY L JONES | MD DDS | 1639169634 |
| JAMES DAN MEEHAN | DDS | 1417934480 |
| DR. JOHN COMPTON MITCHELL | D.D.S. | 1346217775 |
| DR. LIONEL MICHAEL CANDELARIA | DDS | 1750359618 |
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.