Kristi Wagner in Antioch - Orthodontics And Dentofacial Orthopedics
Kristi Wagner - NPI 1285765362
Kristi Wagner is a Orthodontics And Dentofacial Orthopedics in Antioch, California. Kristi Wagner practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kristi Wagner is 1285765362. The last update date is 2013-02-07.
Kristi Wagner's current location address is 2734 Delta Fair Blvd, Antioch, California. You can contact this provider via phone number 9257781234 and fax number 9257783012. The mailing address for Kristi Wagner is 2734 Delta Fair Blvd, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi Wagner |
|---|---|
| Address | 2734 Delta Fair Blvd, Antioch, California |
| Phone Number | 9257781234 |
| Fax Number | 9257783012 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1285765362 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 2734 Delta Fair Blvd |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945094100 |
| Phone Number | 9257781234 |
| Fax Number | 9257783012 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 60060 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kristi Wagner?
The Kristi Wagner has been issued the NPI (National Provider Identifier) 1285765362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kristi Wagner?
The Kristi Wagner is situated at 2734 Delta Fair Blvd, in the city of Antioch, state of CA, with the zip code 945094100.
What is Kristi Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristi Wagner is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
When did the Kristi Wagner receive its 1285765362?
The Kristi Wagner was issued its 1285765362 on 2007-03-08, which is the date when the organization was assigned this unique identifier.
When was the Kristi Wagner's information last updated?
The Kristi Wagner's information was last updated on 2013-02-07.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA