Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUDOLPH MICHAEL WAGNER, D.M.D.
ActiveDR. RUDOLPH MICHAEL WAGNER, D.M.D. is a Orthodontics healthcare provider located in PALM HARBOR, Florida. NPI 1154556132 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PALM HARBOR, FL
Registration Details
- NPI Number
- 1154556132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2009 (17.199180708173 yrs)
- Last Updated
- Jul 20, 2021
- License
-
21125 (FL)
Practice Information
- Address
-
2595 TAMPA RD STE IPALM HARBOR, FL, 346843131Browse FL providers · Browse ZIP 34684
- Phone
- 7277858847
- Fax
- 2777859372
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in PALM HARBOR, FL
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL RUSSELL DURYEA | DDS,MS | 1679538060 |
| DR. ALEX JOSEPH JOHNSON | DMD | 1003989864 |
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.