Michael John Wagner in Woodinville - Orthodontics And Dentofacial Orthopedics

Michael John Wagner - NPI 1609903178

Michael John Wagner is a Orthodontics And Dentofacial Orthopedics in Woodinville, Washington. Michael John Wagner practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Michael John Wagner is 1609903178. The last update date is 2007-07-08.

Michael John Wagner's current location address is 13515 Ne 175th St Ste G, Woodinville, Washington. You can contact this provider via phone number 4254832600 and fax number 4254834080. The mailing address for Michael John Wagner is 13515 Ne 175th St Ste G, Woodinville, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael John Wagner
Address 13515 Ne 175th St Ste G, Woodinville, Washington
Phone Number 4254832600
Fax Number 4254834080
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1609903178
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13515 Ne 175th St Ste G
City Woodinville
State Washington (WA)
Post Code 980728566
Phone Number 4254832600
Fax Number 4254834080

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DE00005880
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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FAQs about Michael John Wagner

What is the unique 10-digit identifier code issued to Michael John Wagner by the Centers for Medicare & Medicaid Services?

The Michael John Wagner has been assigned the NPI (National Provider Identifier) 1609903178 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Michael John Wagner is physically located?

The Michael John Wagner is physically situated at the following address: 13515 Ne 175Th St Ste G, Woodinville, WA, 980728566.

What is Michael John Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael John Wagner is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date was the 1609903178 assigned to Michael John Wagner?

The Michael John Wagner was issued its 1609903178 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Michael John Wagner most recently updated or refreshed?

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

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