Stephen A. Wagner in Albuquerque - Prosthodontics
Stephen A. Wagner - NPI 1336131267
Stephen A. Wagner is a Prosthodontics in Albuquerque, New Mexico. Stephen A. Wagner practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Stephen A. Wagner is 1336131267. The last update date is 2014-04-30.
Stephen A. Wagner's current location address is 801 Encino Pl Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052323588 and fax number 5052323593. The mailing address for Stephen A. Wagner is 801 Encino Pl Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen A. Wagner |
|---|---|
| Address | 801 Encino Pl Ne, Albuquerque, New Mexico |
| Phone Number | 5052323588 |
| Fax Number | 5052323593 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336131267 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | 801 Encino Pl Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871022612 |
| Phone Number | 5052323588 |
| Fax Number | 5052323593 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 1150 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82743 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Stephen A. Wagner by the Centers for Medicare & Medicaid Services?
The Stephen A. Wagner has been issued the NPI (National Provider Identifier) 1336131267. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stephen A. Wagner is physically located?
The Stephen A. Wagner is physically situated at the following address: 801 Encino Pl Ne, Albuquerque, NM, 871022612.
What is Stephen A. 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 Stephen A. Wagner is Prosthodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0700X.
On what date was the 1336131267 assigned to Stephen A. Wagner?
The Stephen A. Wagner was issued its 1336131267 on 2005-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Stephen A. Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephen A. Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-30.
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