Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA MARIE WAGNER, DDS
ActiveDR. TARA MARIE WAGNER, DDS is a Dentist healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1396840559 is currently active in the NPPES registry. Verify at CMS.
Dentist · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1396840559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2006 (19.743392480095 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D11791 (MN)
Practice Information
- Address
-
4700 WHITE BEAR PARKWAYWHITE BEAR LAKE, MN, 551103336Browse MN providers · Browse ZIP 55110
- Phone
- 6517627677
- Fax
- 6517621861
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. CARL WILLIAM RINDELAUB | DDS | 1386730901 |
| DR. PAUL DANIEL ANDERSON | DDS | 1659449098 |
| DR. SARAH ELIZABETH BOO | DDS | 1821148347 |
| DR. GEETHA J DAMODARAN | D.D.S. | 1275858078 |
| DR. TYLER J KOIVISTO | DDS | 1588002430 |
| SHVETA SETIA | DDS | 1730595729 |
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.