Wade W Wagner in Las Vegas - General Practice

Wade W Wagner - NPI 1396817243

Wade W Wagner is a General Practice in Las Vegas, Nevada. Wade W Wagner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wade W Wagner is 1396817243. The last update date is 2007-07-08.

Wade W Wagner's current location address is 4618 Meadows Ln, Las Vegas, Nevada. You can contact this provider via phone number 7028772222 and fax number 7028222406. The mailing address for Wade W Wagner is 4618 Meadows Ln, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Wade W Wagner
Address 4618 Meadows Ln, Las Vegas, Nevada
Phone Number 7028772222
Fax Number 7028222406
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1396817243
Provider Enumeration Date 2006-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4618 Meadows Ln
City Las Vegas
State Nevada (NV)
Post Code 891072956
Phone Number 7028772222
Fax Number 7028222406

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3199
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Wade W Wagner

What is the unique identifier code issued to Wade W Wagner by the Centers for Medicare & Medicaid Services?

The Wade W Wagner has been assigned the NPI (National Provider Identifier) 1396817243. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Wade W Wagner located?

The Wade W Wagner is located at 4618 Meadows Ln, Las Vegas, NV 891072956.

What is Wade W Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wade W Wagner's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Wade W Wagner receive the assignment of its 1396817243 from the Centers for Medicare & Medicaid Services?

The Wade W Wagner was issued its 1396817243 by the Centers for Medicare & Medicaid Services on 2006-11-15.

When was the information regarding Wade W Wagner most recently updated?

The details pertaining to the Wade W Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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