Craig A Wagley in Austintown - Oral & Maxillofacial Surgery
Craig A Wagley - NPI 1235115833
Craig A Wagley is a Oral & Maxillofacial Surgery in Austintown, Ohio. Craig A Wagley practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Craig A Wagley is 1235115833. The last update date is 2008-02-08.
Craig A Wagley's current location address is 5437 Mahoning Ave, Austintown, Ohio. You can contact this provider via phone number 3307922501 and fax number 3307929249. The mailing address for Craig A Wagley is 5437 Mahoning Ave, Austintown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig A Wagley |
|---|---|
| Address | 5437 Mahoning Ave, Austintown, Ohio |
| Phone Number | 3307922501 |
| Fax Number | 3307929249 |
| Sole Proprietor | N |
| Credentials | DDS MD |
NPI Number Detail
| NPI Number | 1235115833 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 5437 Mahoning Ave |
|---|---|
| City | Austintown |
| State | Ohio (OH) |
| Post Code | 445152437 |
| Phone Number | 3307922501 |
| Fax Number | 3307929249 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 21078 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2134630 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Craig A Wagley by the Centers for Medicare & Medicaid Services?
The Craig A Wagley has been issued the NPI (National Provider Identifier) 1235115833 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Craig A Wagley?
The Craig A Wagley is situated at 5437 Mahoning Ave, in the city of Austintown, state of OH, with the zip code 445152437.
What is the area of specialization for Craig A Wagley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Craig A Wagley is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235115833 to Craig A Wagley?
The Craig A Wagley received its 1235115833 assignment from the Centers for Medicare & Medicaid Services on 2005-12-16.
When was the information pertaining to Craig A Wagley most recently updated or revised?
The details related to Craig A Wagley, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-08.