Individual provider · Type 1 NPI

Wayne F. Wagner, DDS

Oral and Maxillofacial Surgery (Dentist) · Park Ridge, IL

NPI number 1003876988 Active

Practice location

1580 N Northwest Hwy, #300
Park Ridge, IL 60068-1469

Call (847) 390-8200 Map

Fax (847) 390-0479

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1003876988

Wayne F. Wagner, DDS's National Provider Identifier is 1003876988, issued on Mar 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Park Ridge, IL. The record was last updated on Jul 13, 2026.