Individual provider · Type 1 NPI

Robert Frederick Wagner, DMD

General Practice Dentistry · Portland, OR

NPI number 1164599700 Active

Practice location

2803 NE Everett St
Portland, OR 97232-3246

Call (503) 239-5115 Map

Fax (503) 231-6480

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7549 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1164599700

Robert Frederick Wagner, DMD's National Provider Identifier is 1164599700, issued on Nov 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.