Individual provider · Type 1 NPI
Rudolph Michael Wagner, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Palm Harbor, FL
Practice location
2595 Tampa Rd Ste I
Palm Harbor, FL 34684-3131
Fax (277) 785-9372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 21125 (FL) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Palm Harbor
About NPI 1154556132
Rudolph Michael Wagner, DMD's National Provider Identifier is 1154556132, issued on May 20, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Palm Harbor, FL. The record was last updated on Jul 20, 2021.