Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID ALAN WAGNER, D.D.S.
Active Sole ProprietorDAVID ALAN WAGNER, D.D.S. is a Pediatric Dentistry healthcare provider located in FENTON, Michigan. NPI 1841539905 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FENTON, MI
Registration Details
- NPI Number
- 1841539905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2013 (13.534837576773 yrs)
- Last Updated
- Jul 14, 2015
- Licenses
-
DS038617 (PA)2901020879 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 N LEROY STFENTON, MI, 484302734Browse MI providers · Browse ZIP 48430
- Phone
- 8106298272
- Fax
- 8106293218
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.