Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER LOUIS WAGNER, DMD
Active Sole ProprietorDR. PETER LOUIS WAGNER, DMD is a Orthodontics healthcare provider located in CHEHALIS, Washington. NPI 1235676008 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CHEHALIS, WA
Registration Details
- NPI Number
- 1235676008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2017 (9.5126511262172 yrs)
- Last Updated
- Sep 19, 2024
- Licenses
-
D10580 (OR)DE60732747 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1327 BISHOP RDCHEHALIS, WA, 985329263Browse WA providers · Browse ZIP 98532
- Phone
- 3607486636
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in CHEHALIS, WA
| Name | Credential | NPI |
|---|---|---|
| PETER C. WAGNER | D.M.D. | 1609992932 |
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.