David Wagner in Tacoma - General Practice

David Wagner - NPI 1205917523

David Wagner is a General Practice in Tacoma, Washington. David Wagner practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Wagner is 1205917523. The last update date is 2007-07-08.

David Wagner's current location address is 1919 N Pearl St Ste A3, Tacoma, Washington. You can contact this provider via phone number 2537615299 and fax number 2537611058. The mailing address for David Wagner is 1919 N Pearl St Ste A3, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name David Wagner
Address 1919 N Pearl St Ste A3, Tacoma, Washington
Phone Number 2537615299
Fax Number 2537611058
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1205917523
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1919 N Pearl St Ste A3
City Tacoma
State Washington (WA)
Post Code 984062456
Phone Number 2537615299
Fax Number 2537611058

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6755
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 David Wagner

What is the unique provider identifier assigned to David Wagner?

The David Wagner has been issued the NPI (National Provider Identifier) 1205917523 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the David Wagner's physical address?

The David Wagner is physically located at 1919 N Pearl St Ste A3, in the city of Tacoma, WA, with the postal code 984062456.

What is the David Wagner's specialty and taxonomy code?

The David Wagner's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did David Wagner receive its 1205917523 assignment?

The David Wagner was assigned its 1205917523 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

As of what date were the David Wagner's details last updated?

The information pertaining to the David Wagner, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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