Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD L WAGSTAFF, DDS
ActiveCHAD L WAGSTAFF, DDS is a General Dentistry healthcare provider located in EDEN, Utah. NPI 1730212564 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EDEN, UT
Registration Details
- NPI Number
- 1730212564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.437507171817 yrs)
- Last Updated
- Nov 6, 2014
- License
-
019-025276 (IL)
Practice Information
- Address
-
2640 N HIGHWAY 162EDEN, UT, 843109745Browse UT providers · Browse ZIP 84310
- Phone
- 8017451100
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in EDEN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. VERN QUINCY IVERSON | DDS | 1487617940 |
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.