Organization · Type 2 NPI
Spencer B Wagner DMD PC
Dental Clinic/Center · Fairfax, SC
NPI number
1205897378
Active
Practice location
1987 Allendale Fairfax Hwy
Fairfax, SC 29827-9137
Fax (803) 632-1240
Mailing address
PO Box 830
Fairfax, SC 29827-0830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3192 (SC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Fairfax
About NPI 1205897378
Spencer B Wagner DMD PC's National Provider Identifier is 1205897378, issued on Mar 29, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fairfax, SC. The record was last updated on Oct 7, 2008.