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

KENT WAGNER JR DDS PC

Active Organization

KENT WAGNER JR DDS PC is a Dentist organization located in LAS VEGAS, Nevada. NPI 1336157270 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAS VEGAS, NV

Registration Details

NPI Number
1336157270
Provider Type
Organization
NPI Issued
Aug 4, 2006 (20.001625121212 yrs)
Last Updated
Aug 22, 2020
License
4799 (NV)

Practice Information

Address
2045 VILLAGE CENTER CIRCLE
LAS VEGAS, NV, 89134
Browse NV providers · Browse ZIP 89134
Phone
7028785599
Fax
7028780173
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.