DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN A. WAGNER, DDS

Active Sole Proprietor

DR. STEPHEN A. WAGNER, DDS is a Pediatric Dentistry healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1336131267 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ALBUQUERQUE, NM

Registration Details

NPI Number
1336131267
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2005 (20.954557939312 yrs)
Last Updated
Apr 30, 2014
License
1150 (NM)
Sole Proprietor
Yes

Practice Information

Address
801 ENCINO PL NE
SUITE A-3
ALBUQUERQUE, NM, 871022612
Browse NM providers · Browse ZIP 87102
Phone
5052323588
Fax
5052323593
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in ALBUQUERQUE, NM

Name Credential NPI
DR. MARC BERNARD APPELBAUM D.D.S. 1366447898
DR. DAI CHINH PHAN DDS, MS 1013934041
ARTHUR BURTON MELTON D.D.S 1831105865
DR. DAVID RAY JIMENEZ D.D.S. 1336250521
DR. PHILLIP ALLEN COOK DDS 1982778387
DAVID A. IRVIN DDS, PC 1144475518
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.