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

DR. SPENCER B WAGNER, D.M.D

Active

DR. SPENCER B WAGNER, D.M.D is a Dentist healthcare provider located in PROVO, Utah. NPI 1578732467 is currently active in the NPPES registry. Verify at CMS.

Dentist · PROVO, UT

Registration Details

NPI Number
1578732467
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2008 (18.49904650389 yrs)
Last Updated
Jan 4, 2013
Licenses
3192 (SC)
6026130 (UT)

Practice Information

Address
2520 N UNIVERSITY AVE
SUITE 101
PROVO, UT, 846043804
Browse UT providers · Browse ZIP 84604
Phone
8014266255
Fax
8012242966
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in PROVO, UT

Name Credential NPI
RAYMOND HEATH HENDRICKSON DDS 1932116589
GARY BRENT WIEST D.M.D. 1538178884
DR. LARRY A BRAITHWAITE DDS 1265549810
NOELLE L WILHELMSEN DDS 1013001718
DR. GARY M HULET DMD 1053490441
MR. MYLES A PREBLE DMD 1306980586
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.