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

DR. MICHAEL JOHN WAGNER, DMD

Active

DR. MICHAEL JOHN WAGNER, DMD is a Orthodontics healthcare provider located in WOODINVILLE, Washington. NPI 1609903178 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · WOODINVILLE, WA

Registration Details

NPI Number
1609903178
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2007 (19.498315780232 yrs)
Last Updated
Jul 8, 2007
License
DE00005880 (WA)

Practice Information

Address
13515 NE 175TH ST STE G
WOODINVILLE, WA, 980728566
Browse WA providers · Browse ZIP 98072
Phone
4254832600
Fax
4254834080
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in WOODINVILLE, WA

Name Credential NPI
DR. MAJED MOAWAD DMD 1902815137
DR. TORI NICOLE MATTHYS D.D.S., M.S.D. 1336398395
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.