Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS J WAGNER, DDS, LLC
Active OrganizationNICHOLAS J WAGNER, DDS, LLC is a Dentist organization located in BOONVILLE, Indiana. NPI 1306231717 is currently active in the NPPES registry. Verify at CMS.
Dentist · BOONVILLE, IN
Registration Details
- NPI Number
- 1306231717
- Provider Type
- Organization
- NPI Issued
- Apr 2, 2015 (11.358842279464 yrs)
- Last Updated
- Apr 2, 2015
- License
-
12011465A (IN)
Practice Information
- Address
-
800 OFFICE PARK DRBOONVILLE, IN, 476018601Browse IN providers · Browse ZIP 47601
- Phone
- 8128974889
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.