Randall L Wagner is a Dentist in Kerrville, Texas. Randall L Wagner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randall L Wagner is 1558434050. The last update date is 2007-07-08.
Randall L Wagner's current location address is 501 Jefferson St Ste #1, Kerrville, Texas. You can contact this provider via phone number 8302575400 and fax number 8302577636. The mailing address for Randall L Wagner is 501 Jefferson St Ste #1, Kerrville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Wagner |
|---|---|
| Address | 501 Jefferson St Ste #1, Kerrville, Texas |
| Phone Number | 8302575400 |
| Fax Number | 8302577636 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558434050 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 Jefferson St Ste #1 |
|---|---|
| City | Kerrville |
| State | Texas (TX) |
| Post Code | 78028 |
| Phone Number | 8302575400 |
| Fax Number | 8302577636 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13418 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Randall L Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The Randall L Wagner has been assigned the NPI (National Provider Identifier) 1558434050. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Randall L Wagner?
The Randall L Wagner is situated at 501 Jefferson St Ste #1, in the city of Kerrville, state of TX, with the zip code 78028.
What is the Randall L Wagner's specialty and taxonomy code?
The Randall L Wagner's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Randall L Wagner receive its 1558434050 assignment?
The Randall L Wagner was assigned its 1558434050 on 2006-11-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Randall L Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall L Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.