Spencer B Wagner Dmd Pc in Fairfax - Dental
Spencer B Wagner Dmd Pc - NPI 1205897378
Spencer B Wagner Dmd Pc is a Dental in Fairfax, South Carolina. Spencer B Wagner Dmd Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Spencer B Wagner Dmd Pc is 1205897378. The last update date is 2008-10-07.
Spencer B Wagner Dmd Pc's current location address is Po Box 830, Fairfax, South Carolina. You can contact this provider via phone number 8036323301 and fax number 8036321240. The mailing address for Spencer B Wagner Dmd Pc is Po Box 830, Fairfax, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spencer B Wagner Dmd Pc |
|---|---|
| Address | Po Box 830, Fairfax, South Carolina |
| Phone Number | 8036323301 |
| Fax Number | 8036321240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Wagner B Spencer |
| Credentials | DMD |
| Telephone Number | 8036323301 |
NPI Number Detail
| NPI Number | 1205897378 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2008-10-07 |
Provider Mailing Address Detail
| Address | Po Box 830 |
|---|---|
| City | Fairfax |
| State | South Carolina (SC) |
| Post Code | 298270830 |
| Phone Number | 8036323301 |
| Fax Number | 8036321240 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 3192 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code assigned to Spencer B Wagner Dmd Pc by the Centers for Medicare & Medicaid Services?
The Spencer B Wagner Dmd Pc has been issued the NPI (National Provider Identifier) 1205897378, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Spencer B Wagner Dmd Pc?
The Spencer B Wagner Dmd Pc is situated at Po Box 830, in the city of Fairfax, state of SC, with the zip code 298270830.
What is Spencer B Wagner Dmd Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spencer B Wagner Dmd Pc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205897378 to Spencer B Wagner Dmd Pc?
The Centers for Medicare & Medicaid Services originally issued the 1205897378 to Spencer B Wagner Dmd Pc on 2006-03-29.
As of what date were the details related to Spencer B Wagner Dmd Pc most recently updated or revised?
The information pertaining to Spencer B Wagner Dmd Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-07.
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