Chadwin J Wagener is a Dentist in Ankeny, Iowa. Chadwin J Wagener practices all healthcare services and medical treatments related to Dentist. The NPI Number for Chadwin J Wagener is 1235257221. The last update date is 2007-07-08.
Chadwin J Wagener's current location address is 833 Se Laurie Ln, Ankeny, Iowa. You can contact this provider via phone number 5159645482 and fax number 5159641956. The mailing address for Chadwin J Wagener is 833 Se Laurie Ln, Ankeny, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chadwin J Wagener |
|---|---|
| Address | 833 Se Laurie Ln, Ankeny, Iowa |
| Phone Number | 5159645482 |
| Fax Number | 5159641956 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1235257221 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 833 Se Laurie Ln |
|---|---|
| City | Ankeny |
| State | Iowa (IA) |
| Post Code | 500213667 |
| Phone Number | 5159645482 |
| Fax Number | 5159641956 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7472 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 769242 | IA | UNITED CONCORDIA PROV ID | |
| 1396 | IA | BLUE DENTAL PROV ID |
Post Comment/ Review Below
What is the unique identification code assigned to Chadwin J Wagener by the Centers for Medicare & Medicaid Services?
The Chadwin J Wagener has been issued the NPI (National Provider Identifier) 1235257221. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Chadwin J Wagener's facilities are geographically located?
The facilities of Chadwin J Wagener are physically situated at the following location: 833 Se Laurie Ln, Ankeny, IA, 500213667.
What is the Chadwin J Wagener's specialty and taxonomy code?
The Chadwin J Wagener's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235257221 to Chadwin J Wagener?
The Chadwin J Wagener received its 1235257221 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the information related to Chadwin J Wagener most recently updated or refreshed?
The details pertaining to the Chadwin J Wagener, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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