Kent Wagner Jr Dds Pc in Las Vegas - Dentist
Kent Wagner Jr Dds Pc - NPI 1336157270
Kent Wagner Jr Dds Pc is a Dentist in Las Vegas, Nevada. Kent Wagner Jr Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kent Wagner Jr Dds Pc is 1336157270. The last update date is 2020-08-22.
Kent Wagner Jr Dds Pc's current location address is 2045 Village Center Circle, Las Vegas, Nevada. You can contact this provider via phone number 7028785599 and fax number 7028780173. The mailing address for Kent Wagner Jr Dds Pc is 2045 Village Center Circle, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kent Wagner Jr Dds Pc |
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Address | 2045 Village Center Circle, Las Vegas, Nevada |
Phone Number | 7028785599 |
Fax Number | 7028780173 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DENTIST OW |
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Authorized Official Name | Wagner Kent Ronald |
Credentials | DDS |
Telephone Number | 7028785599 |
NPI Number Detail
NPI Number | 1336157270 |
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Provider Enumeration Date | 2006-08-04 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2045 Village Center Circle |
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City | Las Vegas |
State | Nevada (NV) |
Post Code | 89134 |
Phone Number | 7028785599 |
Fax Number | 7028780173 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 4799 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1779641 | UNITED CONCORIDA PROVIDER |
Post Comment/ Review Below
What is the Kent Wagner Jr Dds Pc's 1336157270?
The Kent Wagner Jr Dds Pc's NPI (National Provider Identifier) Number is 1336157270. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kent Wagner Jr Dds Pc is physically located?
The Kent Wagner Jr Dds Pc is physically situated at the following address: 2045 Village Center Circle, Las Vegas, NV, 89134.
What is Kent Wagner Jr Dds Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kent Wagner Jr Dds Pc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336157270 to Kent Wagner Jr Dds Pc?
The Kent Wagner Jr Dds Pc received its 1336157270 assignment from the Centers for Medicare & Medicaid Services on 2006-08-04.
When was the Kent Wagner Jr Dds Pc's information last updated?
The Kent Wagner Jr Dds Pc's information was last updated on 2020-08-22.